Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mark Tatum, CAA

Individual provider Anesthesiologist Assistant · NPI 1396389755

Mark Tatum, CAA is an Anesthesiology Assistant in Canton, Ohio. Qualified in 2019, 7 years ago. Practices with University Primary Care Practices Inc, a 1,073-clinician group and accepts Medicare assignment.

Years since qualifying
7
In the registry since
2019
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Practice location Address checks out

1320 Mercy Dr NW
Canton, OH 44708-2641
Phone: (330) 489-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X

Record details

NPI number1396389755
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedOctober 29, 2019
Last updated in NPPESMarch 8, 2021
Certification dateMarch 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice University Primary Care Practices Inc — 1073 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients131
Services billed 132 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at University Primary Care Practices Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 1073 clinicians in the practice; 12 are shown here.

Other providers in Canton