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
Provider Name :Dr. Michael D Tarantino
Credential :MD
Gender :Male
Sole Proprietor : Yes
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
Phone Number :309-692-5337
Fax Number :309-693-3913
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
NPI Entity Type : Individual
First Enrolment Date : 27 Sep, 2005
Last Updated On : 30 Jul, 2021
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
Medicare Enrollment ID :I20090205000348
Primary Specialty :Hematology/oncology
Medical School :University Of Wisconsin School Of Medicine
Graduation Year :1987
Accepts Medicare?Yes. Dr. Michael D Tarantino accepts medicare insurance.
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 IDNo. of MembersPractice AddressGroup Accepts Medicare
427 W Northmoor Rd
Peoria, IL - 616143542
Ph: 3096925337
May accept
Michael D. Tarantino, M.d. S.c.68009508333427 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 SpecialityPrimaryLicense No.State
2080P0207XPediatrics Pediatric Hematology-OncologyYes036-101239IL
2080P0207XPediatrics Pediatric Hematology-OncologyNo29978KY
Legacy Identifiers:
Other legacy medical identifiers of Dr. Michael D Tarantino such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
64299787OtherKYKENTUCKY MEDICAID
7225372OtherILBCBS OF IL
P00096725OtherRAILROAD 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
Phone Number :309-692-5337
Fax Number :309-693-3913
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. Last updated on 08 January, 2024.