MS. TARA E CWIAK (NPI# 1255812129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255812129 |
| Entity Type | Individual |
| Full Name | MS. TARA E CWIAK |
| Credential | PA-C |
| Practice Address |
400 N Mount Zion Rd Lebanon IN 46052-9497 |
| Mailing Address |
2705 N Lebanon St Ste 305 Lebanon IN 46052-8622 |
| Practice Telephone | 7653350123 |
| Practice Fax Number | 7653350127 |
| Enumeration Date | 2018-08-28 |
| Last Update Date | 2020-05-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 10002506A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 300027406 | 05 |
| Street Address |
400 N MOUNT ZION RD |
| City | LEBANON |
| State | IN |
| Zip Code | 46052-9497 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942551684 | Bhupinder K Gill | Physical Therapist | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2012-09-20 |
| 1114576097 | Angela Dawn Kirkendall | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2019-09-04 |
| 1710535091 | Stacy Marie Tavenner | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2019-08-29 |
| 1427617810 | Jessica Marie Bingham | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2019-06-10 |
| 1174031843 | Alexandria Joanne Roemke | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2018-01-16 |
| 1053858621 | Allison Rae Shrack | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2017-01-20 |
| 1023567823 | Staci Jeanne Sides | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2016-09-22 |
| 1740638774 | Abby Elizabeth White | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2016-05-31 |
| 1417320870 | Erica D Baker | Nurse Practitioner | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2015-11-07 |
| 1144692864 | Novapex | Clinic/Center | 400 N Mount Zion Rd, Lebanon, IN 46052-9497 | 2015-10-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316567647 | Meredith England Labrie | Behavioral Analyst | 110 Birchwood Drivve, Lebanon, IN 46052 | 2020-04-16 |
| 1710401492 | Kenzlie Ann Westerfield | Specialist/Technologist | 613 Countryside Drive, Lebanon, IN 46052 | 2017-08-03 |
| 1487040044 | Jenny L Essex | Social Worker | 1614 N. Lebanon St., Integrative Wellness, LLC, Lebanon, IN 46052 | 2015-04-10 |
| 1316177363 | Kathryn Elizabeth Ehrgott | Counselor | 1005 South Lebanon Street, Boone County Services, Lebanon, IN 46052 | 2009-07-23 |
| 1780838557 | Kathleen M Whitaker | Registered Nurse | 209 W North St, Lebanon, IN 46052 | 2008-11-06 |
| 1851551998 | James R Mcafee | General Practice | 1997 Terrace Ln, Lebanon, IN 46052 | 2008-06-12 |
| 1518021773 | Zulfiqar Ali Mirza | Internal Medicine | 2505 N Lebanon St Ste 220, Lebanon, IN 46052 | 2006-12-21 |
| 1316016108 | Russell Allen Lindner | Chiropractor | 3920 North State Road 39, Boone County Chiropractic Office, Lebanon, IN 46052 | 2006-11-07 |
| 1487755781 | Cowan Drugs Inc | Pharmacy | 112 N Lebanon St, Lebanon, IN 46052 | 2006-09-26 |
| 1558463992 | Cowan Drugs Inc | Pharmacy | 1639 N Lebanon St, Lebanon, IN 46052 | 2006-09-05 |
| Find all providers in zip 46052 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275154536 | Hannah Stefanik | Physician Assistant | 1434 E 400 S, Lebanon, IN 46052-9761 | 2020-04-28 |
| 1144869546 | Jared W Swain | Physician Assistant | 7 Kimball St Apt 20, Lebanon, NH 03766-1736 | 2020-01-02 |
| 1225511801 | Thomas Carroll | Physician Assistant | 1633 W Main St Ste 300, Lebanon, TN 37087-7800 | 2018-09-10 |
| 1962863241 | Jonathan David Barnett | Physician Assistant | 1420 W Baddour Pkwy Ste 110, Lebanon, TN 37087-1510 | 2016-03-14 |
| 1942684584 | Samantha Pellechio | Physician Assistant | 60 Haytown Rd, Lebanon, NJ 08833-4004 | 2015-07-14 |
| 1386035756 | Whitney Hanor | Physician Assistant | 720 Spring Meadow Ln, Lebanon, TN 37087-3397 | 2015-02-06 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1144510538 | Derek Varney | Physician Assistant | 735 Norman Dr # Dr3, Lebanon, PA 17042-7559 | 2011-04-19 |
| 1457656902 | Scott Darron Fowler | Physician Assistant | 155 Legends Drive, Suite I, Lebanon, TN 37087 | 2011-01-13 |
| 1043408503 | Peter A Rosenblum | Physician Assistant | 525 N. Santiam Hwy., Lebanon, OR 97355-3982 | 2007-10-10 |
| Find all providers in LEBANON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.