MICHAEL D. TARANTINO, M.D. S.C. – NPI #1740430784
Pediatrics

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

MICHAEL D. TARANTINO, M.D. S.C. is a provider located in PEORIA, IL. NPPES has assigned the NPI number 1740430784 to MICHAEL D. TARANTINO, M.D. S.C. on September 26, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2080P0207X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics, specializing in Pediatric Hematology-Oncology

The NPI profile was previously updated about 4 years ago on Jul 15, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL D. TARANTINO, M.D. S.C. below.

NPI Profile for
MICHAEL D. TARANTINO, M.D. S.C.

NPI Number
1740430784
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MICHAEL D. TARANTINO, M.D. S.C.
Primary location
427 W NORTHMOOR RD
PEORIA, IL 61614-3542
Phone: (309) 692-5337 Fax: (309) 693-3913
Mailing address
2 OLD FARM LN
WASHINGTON, IL 61571-9733
Phone: (309) 370-6124 Fax: (309) 693-3913
Organization Subpart
No
Authorized Official
MICHAEL TARANTINO
MEDICAL DIRECTOR
Phone: (309) 370-6124
Updated
Certification Date
Jul 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MICHAEL D. TARANTINO, M.D. S.C.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF ILIL7225372
OTHERRAILROAD MEDICAREP00096725
MEDICAIDIL398680716
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2080P0207X
- Pediatrics / Pediatric Hematology-Oncology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.