Dr. Michael D Tarantino
MD | Pediatric Hematology-Oncology | Male
Dr. Michael D Tarantino, MD is a Peoria, Illinois based Pediatric doctor with medical specialization in
Pediatric Hematology-Oncology.
Current practice location of Dr. Michael D Tarantino is
427 W Northmoor Rd, Peoria, Illinois - 61614-3542. He can be contacted on phone at
309-692-5337 and fax number 309-693-3913.
Dr. Michael D Tarantino is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Michael D Tarantino is
1396731063 which was assigned by NPPES on 27 Sep, 2005 and it was last updated on 30 Jul, 2021.
Dr. Michael D Tarantino license number is
036-101239 for Pediatrics Pediatric Hematology-Oncology (2080P0207X) in Illinois.
Dr. Michael D Tarantino is trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.
Complete Profile:
Dr. Michael D Tarantino basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Hematology-Oncology |
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| Provider Name : | Dr. Michael D Tarantino |
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| Credential : | MD |
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| Gender : | Male |
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| Sole Proprietor : | Yes |
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Business Address:
Dr. Michael D Tarantino address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 427 W Northmoor Rd
Peoria, IL, 61614-3542
United States |
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| Phone Number : | 309-692-5337 |
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| Fax Number : | 309-693-3913 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1396731063 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Sep, 2005 |
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| Last Updated On : | 30 Jul, 2021 |
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Medicare Participation:
Dr. Michael D Tarantino participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2668418245 |
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| Medicare Enrollment ID : | I20090205000348 |
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| Primary Specialty : | Hematology/oncology |
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| Medical School : | University Of Wisconsin School Of Medicine |
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| Graduation Year : | 1987 |
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| Accepts Medicare? | Yes. Dr. Michael D Tarantino accepts medicare insurance. |
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Group Practice Association:
Dr. Michael D Tarantino is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Michael D Tarantino is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| | | 427 W Northmoor Rd
Peoria, IL - 616143542
Ph: 3096925337 | May accept |
| Michael D. Tarantino, M.d. S.c. | 6800950833 | 3 | 427 W Northmoor Rd
Peoria, IL - 616143542 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Michael D Tarantino are as mentioned. Primary taxonomy code for Dr. Michael D Tarantino, MD is
2080P0207X (Pediatrics Pediatric Hematology-Oncology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | Yes | 036-101239 | IL |
| 2080P0207X | Pediatrics Pediatric Hematology-Oncology | No | 29978 | KY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael D Tarantino such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 64299787 | Other | KY | KENTUCKY MEDICAID |
| 7225372 | Other | IL | BCBS OF IL |
| P00096725 | Other | | RAILROAD MEDICARE |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 427 W Northmoor Rd
Peoria, IL, 61614-3542
United States |
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| Phone Number : | 309-692-5337 |
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| Fax Number : | 309-693-3913 |
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Business Location:
Patients can refer following map for directions to
Dr. Michael D Tarantino practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.