MEDICARE: MARIE TANI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	35061372T	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000138278	OTHER	OH	UNICARE
3	106400	OTHER	OH	NATIONWIDE GROUP
4	2135555	OTHER	OH	AETNA SELECT
5	376994	OTHER	OH	STAYWELL HEALTH/WELLCARE
6	5100755	OTHER	OH	AETNA MANAGED CARE
7	9659200002	OTHER	OH	CIGNA
8	000000138278	OTHER	OH	ANTHEM
9	9007447	OTHER	OH	SUMMACARE

General Provider Information

NPI Number	:	1154314581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE TANI MD

Provider Business Mailing Address
First Line	:	PO BOX 8792
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-8792
Country	:	US
Telephone Number	:	440-357-3100
Fax Number	:	440-357-8254

Provider Business Practice Location Address
First Line	:	7535 FREDLE DR
Second Line	:
City	:	CONCORD TWP
State	:	OH
Zip	:	44077-9406
Country	:	US
Telephone Number	:	440-357-3100
Fax Number	:	440-357-8254

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2005
Last Update Date	:	11/23/2020

Similar Medicare Providers

1245223676 — LEONARD M WEINBERGER MD
Practice Location Address:

7535 FREDLE DR
CONCORD TWP, OH
44077-9406

Practice Phone: 440-357-3100
Practice Fax: 440-357-8254

1891788295 — LEONARD M WEINBERGER MD INC
Practice Location Address:

7535 FREDLE DR
CONCORD TWP, OH
44077-9406

Practice Phone: 440-357-3100
Practice Fax: 440-357-8254

1356301311 — DR. DANIEL L HOFIUS DO
Practice Location Address:

7580 AUBURN ROAD , SUITE 202
CONCORD TWP, OH
44077-9406

Practice Phone: 440-352-0400
Practice Fax: 440-352-4535

1033179791 — DR. DANIEL CHRISTOPHER MODARELLI DO
Practice Location Address:

7580 AUBURN ROAD , SUITE 202
CONCORD TWP, OH
44077-9406

Practice Phone: 440-352-0400
Practice Fax: 440-352-4535

1730142001 — RONALD ROSS P.T.
Practice Location Address:

7515 FREDLE DR
CONCORD TWP, OH
44077-9406

Practice Phone: 440-352-0400
Practice Fax: 440-352-4535

1336181163 — INSTITUTE FOR SPINE INC
Practice Location Address:

7551 FREDLE DR
CONCORD TWP, OH
44077-9406

Practice Phone: 440-357-1502
Practice Fax: 440-357-1905

Directions to “ MARIE TANI MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.