Alaina Tatum, PA-C
Physician Assistant in Crown Point, IN. Individual provider (NPI-1).
NPI number1962035329
StatusActive
Last updated in NPPESMar 12, 2024
Details
- NPI
- 1962035329
- Entity type
- Individual (NPI-1)
- Name
- Alaina Tatum
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 13, 2020
- Certification date
- Mar 12, 2024
- Last updated
- Mar 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10003859A | IN | Yes |
| 363A00000X | Physician Assistant | 0110-007660 | VA | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
11456 BroadwayCrown Point, IN 46307-7106
Phone 219-488-0154
Mailing address
11456 BroadwayCrown Point, IN 46307-7106
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 22 Physician Assistant providers in Crown Point · All 1,805 providers in Crown Point
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