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MR. CARL FREDERICK TATE PHYSICIAN ASSISTANT
NPI 1629255302
Physician Assistant in Indianapolis, IN

Active since January 25, 2008
3549 BOULEVARD PL, INDIANAPOLIS, IN 46208(317) 925-1300 Get Directions Write a Review

NPPES record last updated: January 25, 2008. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Carl Frederick Tate Physician Assistant NPPES

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

MR. CARL FREDERICK TATE PHYSICIAN ASSISTANT (NPI 1629255302) is an individual physician assistant in Indianapolis, Indiana, licensed in Indiana (10000107A) and active in the NPI registry since January 2008.

NPPES Registry Identity

NPI1629255302
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. CARL FREDERICK TATECredential: PHYSICIAN ASSISTANT
Location Address3549 BOULEVARD PLIndianapolis, IN 46208-4403
Mailing Address3549 Boulevard PlIndianapolis, IN 46208-4403 · (317) 920-1300
Phone(317) 925-1300
Sole ProprietorYes
Enumeration DateJanuary 25, 2008
✔ NPI 1629255302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10000107A
Definition
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.
3549 BOULEVARD PL, Indianapolis, IN 46208
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Other Providers at the Same Location NPPES 3

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

AT HEART CARE
Home Health
3549 BOULEVARD PL
INDIANAPOLIS, IN 46208
Marion County (317) 690-2877
LORD OF HEAVEN'S ARMIES LLC
Nurse Practitioner (Family)
3549 BOULEVARD PL
INDIANAPOLIS, IN 46208
Marion County (317) 500-4362
BUILDING PEOPLE BUILDING COMMUNITY INC
Family Medicine
3549 BOULEVARD PL
INDIANAPOLIS, IN 46208
Marion County (317) 920-1300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Carl Tate's NPI number?

The NPI number for Carl Tate is 1629255302. It was assigned to this individual provider in the NPPES registry on January 25, 2008.

Where is Carl Tate located?

Carl Tate practices at 3549 Boulevard Pl, Indianapolis, IN 46208. The listed phone number is (317) 925-1300.

What is Carl Tate's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Carl Tate was last updated on January 25, 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.