TARA CONNOR DO PA - NPI 1245432111 - Family Medicine in Inverness, FL

Q: What is Tara Connor Do PA's NPI number?

The NPI number for Tara Connor Do PA is 1245432111. It was assigned to this organization in the NPPES registry on June 4, 2007.

Q: What is Tara Connor Do PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Connor Do PA was last updated on February 28, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Tara Connor Do Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TARA CONNOR DO PA (NPI 1245432111) is a healthcare organization registered as a family medicine in Inverness, Florida and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through May 3, 2028 and lists Tara Connor, President Physician, as its authorized official.

NPPES Registry Identity

NPI1245432111

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameTARA CONNOR DO PA

Location Address2401 FOREST DRInverness, FL 34453-3720

Mailing Address2401 Forest DrInverness, FL 34453-3720 · (352) 344-3777 · Fax (352) 344-2546

Phone(352) 344-3777

Fax(352) 344-2546

Organization SubpartNo

Authorized OfficialTara ConnorPresident Physician · (352) 344-3777

Enumeration DateJune 4, 2007

Last NPPES UpdateFebruary 28, 2008

✔ NPI 1245432111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · OS8408

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2401 FOREST DR, Inverness, FL 34453

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Other Identifiers 2

Medicare ID-Type UnspecifiedK5685FL

Medicare UPINH43629FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D1028014

Tara Connor Do PA · Inverness, FL

Active · expires May 3, 2028

CLIA Number10D1028014

Laboratory TypePhysician Office

Certificate Effective DateMay 4, 2026

Certificate Expiration DateMay 3, 2028

Laboratory DirectorTara M. Connor

Laboratory Phone(352) 344-3777

Laboratory LocationTara Connor Do PA2401 Forest Dr, Inverness, FL 34453

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY A RIESEL MSN, APRN, FNP-BC

Nurse Practitioner (Family)