Doctor profile · Federal record
Dr. Jonathan Tatum
Pediatric Endocrinology Physician · Student in an Organized Health Care Education/Training Program · Providence, RI
- NPI 1285138586
- 8 yrs on file
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
111 Plain Street 3Rd Floor Suite 101
Providence, RI 029023026
(401) 444-5504 - Mailing address
-
117 Ellenfield St Ste 101
Providence, RI 029054541
Credentials & registration
- NPI registered
- March 2018 — 8 yrs on file
- Profile last updated
- August 6, 2024
- Specialty taxonomy
- 2080P0205X — NUCC code
- State license (1)
- Rhode Island #MD19694
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1285138586. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$19
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Kyowa Kirin, INC. | 1 | $18.94 |
By nature of payment
Frequently asked questions
What is Dr. Jonathan Tatum's medical specialty?
Dr. Jonathan Tatum practices Pediatric Endocrinology Physician in Providence, RI.
Where does Dr. Jonathan Tatum practice?
Dr. Jonathan Tatum practices at 111 Plain Street 3Rd Floor Suite 101, Providence, RI 029023026. Office phone: 4014445504.
What is Dr. Jonathan Tatum's NPI?
Dr. Jonathan Tatum's National Provider Identifier (NPI) is 1285138586, issued by NPPES.