Robert Wayne Tahara (NPI# 1902859069, PAC ID# 5698736312) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1902859069 |
| PAC ID by PECOS | 5698736312 |
| Professional Enrollment ID | I20041026000168 |
| Full Name | Robert Wayne Tahara |
| Address |
900 Chestnut St Ext Suite A Bradford PA 16701-2298 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE |
| Graduation Year | 1993 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390113 | MEADVILLE MEDICAL CENTER |
| 330103 | OLEAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 900 Chestnut St Ext, Suite A, Bradford, PA 16701-2298 | ||
| 764 Kennedy St, Suite 101, Meadville, PA 16335-2209 | 8143732195 | MEADVILLE PHYSICIAN SERVICES |
| 765 Liberty St, Suite 105, Meadville, PA 16335-2567 | 8143732310 | MEADVILLE PHYSICIAN SERVICES |
| Street Address |
900 CHESTNUT ST EXT SUITE A |
| City | BRADFORD |
| State | PA |
| Zip | 16701-2298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Glenn Edgar Irwin Jr. | Family Medicine | 900 Chestnut St Ext, Suite A, Bradford, PA 16701-2298 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Asim Makhdom | Orthopedic Surgery | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| Aris Gredzens | Obstetrics/gynecology | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| Donald Lee Hay | General Surgery | Olean General Hospital | 159 Interstate Pkwy, Bradford, PA 16701-1013 |
| Michael Marino | Anesthesiology | Great Lakes Anesthesiology PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Darlene G Venezia-skaggs | Nurse Practitioner | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Jill M Owens | Hospitalist | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Michele M Wooten | Nurse Practitioner | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Javaid A Malik | Pain Management | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Andrew J Davidson | Nurse Practitioner | Apogee Medical Group of Pennsylvania PC | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Frank Arnal | Pulmonary Disease | Olean General Hospital | 116 Interstate Pkwy, Bradford, PA 16701-1036 |
| Find all physicians in zip 16701 | |||
| City | BRADFORD |
| Zip Code | 16701 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BRADFORD + GENERAL SURGERY |
Please comment or provide details below to improve the information on Robert Wayne Tahara.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.