Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tatum S Martino

Individual provider Family Nurse Practitioner · NPI 1457847998

Tatum S Martino is a Nurse Practitioner in Warren, Ohio. Qualified in 2018, 8 years ago. Practices with Optima Dermatology LLC, a 74-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Ohio and Pennsylvania.

Years since qualifying
8
Licensed in
OH, PA
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

2223 Niles Cortland Rd SE
Warren, OH 44484-3043
Phone: (330) 965-8760
Fax: (330) 469-9706
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 987 Boardman Canfield Rd, Boardman, OH 44512-4222 — (330) 271-8589
  • 1039 Boardman Canfield Rd, Boardman, OH 44512-4211 — (330) 271-8589
  • 2525 E State St, Salem, OH 44460-9301 — (330) 271-8614

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.023087 (OH)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP019278 (PA)

Record details

NPI number1457847998
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 9, 2018
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Optima Dermatology Llc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Warren