NICOLE M TATOMIROVICH PA-C NPI 1053938134

NPI Information

  • NPI: 1053938134
  • Provider Name: NICOLE M TATOMIROVICH, PA-C
  • Classification: Physician Assistant - 363A00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2223 NILES CORTLAND RD SE
    WARREN, OH
    ZIP 44484
  • Phone: (330) 965-8760

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NPI Details

Nicole M Tatomirovich, PA-C is a physician assistant in Warren, OH with 6 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Nicole M Tatomirovich, PA-C NPI is 1053938134. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2223 NILES CORTLAND RD SE
WARREN, OH
ZIP 44484-043
Phone: (330) 965-8760
Fax: (330) 469-9706

The NPI 1053938134 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of precancer skin growth, 2-14 growths (HCPCS:17003)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Destruction of precancer skin growth, 1 growth (HCPCS:17000)
  • Destruction of skin growth, 1-14 growths (HCPCS:17110)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Biopsy of related skin growth, first growth (HCPCS:11102)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Injection of drug or substance under skin or into muscle (HCPCS:96372)
  • Destruction of precancer skin growth, 15 or more growths (HCPCS:17004)
  • Punch biopsy, first skin growth (HCPCS:11104)
  • Biopsy of related skin growth, each additional growth (HCPCS:11103)
  • New patient office or other outpatient visit, 15-29 minutes (HCPCS:99202)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Punch biopsy, each additional skin growth (HCPCS:11105)
  • Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)

The enumeration date for this NPI number is 7/6/2020 and was last updated on 8/26/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician Assistant50.006478RXOHIOYes
2363A00000XPhysician AssistantMA061723PENNSYLVANIANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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