Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35-059599 | OH |
NPI | 1720006984 |
---|---|
Provider Name | Robert W Tarr |
First Address | Euclid, OH 44117-1714 |
Second Address | Cleveland, OH 44106-1716 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 01/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000206504 | UNISON (01) | OH |
000000503615 | ANTHEM (01) | OH |
00000503092 | ANTHEM (01) | OH |
0156264 | NJ MEDICAID (01) | NJ |
0304914 | BCMH (01) | OH |
0811974 | (05) | OH |
1026854600001 | (05) | PA |
364072 | WELLCARE (01) | OH |
4392802 | AETNA (01) | OH |
731987 | BUCKEYE (01) | OH |
E38611 | (02) | |
P00358873 | RAILROAD MEDICARE (01) | OH |