MISS TARA ANDREA PROVIDENCE MD
NPI 1942697792
Student in an Organized Health Care Education/Training Program in Buffalo, NY

Q: What is Tara Providence's NPI number?

The NPI number for Tara Providence is 1942697792. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Q: What is Tara Providence's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Tara Providence was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since April 20, 2015PECOS Enrolled

462 GRIDER ST., DAVID K. MILLER BLDG., BUFFALO, NY 14215(716) 898-4578(716) 898-3279 Get Directions Write a Review

NPPES record last updated: September 23, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Miss Tara Andrea Providence Md NPPES

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

MISS TARA ANDREA PROVIDENCE MD (NPI 1942697792) is an individual student in an organized health care education/training program in Buffalo, New York and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942697792

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameMISS TARA ANDREA PROVIDENCECredential: MD

Location Address462 GRIDER ST., DAVID K. MILLER BLDG.Buffalo, NY 14215

Mailing Address462 Grider St, David K. Miller Bldg.Buffalo, NY 14215 · (716) 898-4578 · Fax (716) 898-3279

Phone(716) 898-4578

Fax(716) 898-3279

Sole ProprietorNo

Enumeration DateApril 20, 2015

Last NPPES UpdateSeptember 23, 2015

✔ NPI 1942697792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

462 GRIDER ST., Buffalo, NY 14215

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Tara Andrea Providence Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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Other Providers at the Same Location NPPES 11

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

MICHELLE SCIBETTA PT, DPT

Physical Therapist (Pediatrics)

462 GRIDER ST.
BUFFALO, NY 14215

Erie County (716) 874-6175

DR. DAWID MATEUSZ CZARNY M.D.

Internal Medicine (Rheumatology)

462 GRIDER ST., INTERNAL MEDICINE RESIDENCY PROGRAM, DK MILLER BUILDING
BUFFALO, NY 14215

Erie County (716) 898-4226

MS. ASHLYN NARMAN M.D.

Student in an Organized Health Care Education/Training Program

462 GRIDER ST., ERIE COUNTY MEDICAL CENTER
BUFFALO, NY 14215

Erie County (716) 898-4578

MS. SHIRLEY C STOLARSKI

Pharmacist

462 GRIDER ST., SUITE G103
BUFFALO, NY 14215

Erie County (716) 898-3284

MS. MRINALINI RAMESH D.O.

Student in an Organized Health Care Education/Training Program

462 GRIDER ST.
BUFFALO, NY 14215

Erie County (716) 898-4578

DR. JOUZIF IBRAHIM M.D.

Student in an Organized Health Care Education/Training Program

462 GRIDER ST.
BUFFALO, NY 14215

Erie County (716) 898-3941

MS. PARTEET SANDHU M.D.

Student in an Organized Health Care Education/Training Program

462 GRIDER ST., INTERNAL MEDICINE RESIDENCY PROGRAM, DAVID K. MILLER BL
BUFFALO, NY 14215

Erie County (716) 898-4578

MEENAL KALRA

Student in an Organized Health Care Education/Training Program

462 GRIDER ST.
BUFFALO, NY 14215

Erie County (716) 898-3941

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 Tara Providence's NPI number?

The NPI number for Tara Providence is 1942697792. It was assigned to this individual provider in the NPPES registry on April 20, 2015.

Where is Tara Providence located?

Tara Providence practices at 462 Grider St. David K. Miller Bldg., Buffalo, NY 14215. The listed phone number is (716) 898-4578.

What is Tara Providence's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tara Providence enrolled in Medicare?

Yes. Tara Providence is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tara Providence was last updated on September 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.