Individual
ROBERT W TARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-1700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
35-059599
OH
207UN0901X
Nuclear Cardiology Physician
35-059599
OH
207UN0902X
Nuclear Imaging & Therapy Physician
35-059599
OH
207UN0903X
In Vivo & In Vitro Nuclear Medicine Physician
35-059599
OH
2085B0100X
Body Imaging Physician
35-059599
OH
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
35-059599
OH
2085H0002X
Hospice and Palliative Medicine (Radiology) Physician
35-059599
OH
2085N0700X
Neuroradiology Physician
Primary
35-059599
OH
2085N0904X
Nuclear Radiology Physician
35-059599
OH
2085P0229X
Pediatric Radiology Physician
35-059599
OH
2085R0001X
Radiation Oncology Physician
35-059599
OH
2085R0202X
Diagnostic Radiology Physician
35-059599
OH
2085R0203X
Therapeutic Radiology Physician
35-059599
OH
2085R0204X
Vascular & Interventional Radiology Physician
35-059599
OH
2085U0001X
Diagnostic Ultrasound Physician
35-059599
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000206504
UNISON
OH
01
—
000000503615
ANTHEM
OH
01
—
00000503092
ANTHEM
OH
01
—
0156264
NJ MEDICAID
NJ
01
—
0304914
BCMH
OH
05
—
0811974
—
OH
05
—
1026854600001
—
PA
01
—
364072
WELLCARE
OH
01
—
4392802
AETNA
OH
01
—
731987
BUCKEYE
OH
01
—
P00358873
RAILROAD MEDICARE
OH
Enumeration date
07/17/2006
Last updated
05/01/2012
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