Tara J Little (NPI# 1033555966, PAC ID# 6901034982) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1033555966 |
| PAC ID by PECOS | 6901034982 |
| Professional Enrollment ID | I20140121001134 |
| Full Name | Tara J Little |
| Organization Legal Name | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| Address |
700 Broadway Fl 2 Fort Wayne IN 46802-1402 |
| Phone Number | 2604249000 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 2668539818 |
| Number of Group Practice Members | 42 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150133 | KOSCIUSKO COMMUNITY HOSPITAL |
| 150047 | ST JOSEPH HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 | 2604249000 | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| 1205 Provident Dr A, Warsaw, IN 46580-3265 | 5742698383 | KOSCIUSKO MEDICAL GROUP LLC |
| 1275 Provident Dr, Warsaw, IN 46580-3265 | 5742694026 | KOSCIUSKO MEDICAL GROUP LLC |
| 1520 Provident Dr, Warsaw, IN 46580-3291 | 5743723800 | KOSCIUSKO MEDICAL GROUP LLC |
| 1540 Provident Dr, Warsaw, IN 46580-3291 | 5743725868 | KOSCIUSKO MEDICAL GROUP LLC |
| Organization Legal Name | ASSOCIATED SURGEONS AND PHYSICIANS LLC |
| Physicians | 45 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Laura Dirig | Nurse Practitioner | Associated Surgeons and Physicians LLC | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Larson Langschwager | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 1316 E 7th St, Auburn, IN 46706-2538 |
| Mary J Gura | Nurse Practitioner | Associated Surgeons and Physicians LLC | 2518 E Dupont Rd, Womens Health Advantage, Fort Wayne, IN 46825-1675 |
| Sarah B Bailey | Nurse Practitioner | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Mark W Delbello | Internal Medicine | Associated Surgeons and Physicians LLC | 10002 Auburn Park Dr, Fort Wayne, IN 46825-2389 |
| Debra K Brandenberger | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Keith R Davis | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 7988 W Jefferson Blvd, Fort Wayne, IN 46804-4140 |
| Andrea F Yoder | Certified Nurse Midwife (cnm) | Associated Surgeons and Physicians LLC | 2518 E Dupont Rd, Womens Health Advantage, Fort Wayne, IN 46825-1675 |
| Rachael L Johnson | Nurse Practitioner | Associated Surgeons and Physicians LLC | 1275 Provident Dr, Warsaw, IN 46580-3265 |
| Abbie Lois Mincks | Obstetrics/gynecology | Associated Surgeons and Physicians LLC | 2518 E Dupont Rd, Womens Health Advantage, Fort Wayne, IN 46825-1675 |
| Street Address |
700 BROADWAY FL 2 |
| City | FORT WAYNE |
| State | IN |
| Zip | 46802-1402 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nikkiya Fraser | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| George J Moussally | Nurse Practitioner | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Calvert B Wait | Internal Medicine | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Debra K Brandenberger | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Melissa K Gephart | Nurse Practitioner | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| April Renee Morrison | Infectious Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Dedrick K. Bowe | Pulmonary Disease | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Kristian R Henriquez Mirandona | Internal Medicine | Hospital Care Group PC | 700 Broadway, Fort Wayne, IN 46802-1493 |
| Maryann Meo | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Carrie B Price | Nurse Practitioner | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William A Wood | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Glenn Alan Glogas | Undersea and Hyperbaric Medicine | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Darnell J Brown | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Thomas A Kintanar | Family Medicine | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Patrick M Holly | Family Medicine | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Philip A Rettenmaier | Undersea and Hyperbaric Medicine | Associated Surgeons and Physicians LLC | 700 Broadway, Fl 2, Fort Wayne, IN 46802-1402 |
| Eamon B O'reilly | Plastic and Reconstructive Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Yan Tomas Ortiz-pomales | General Surgery | Lutheran Medical Group LLC | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Gordon Lindberg | General Surgery | St Joseph Medical Group Inc | 700 Broadway, Fort Wayne, IN 46802-1402 |
| Douglas E Sawyer | Family Medicine | Fort Wayne Medical Education Program | 750 Broadway, Suite 350, Fort Wayne, IN 46802-1412 |
| Find all physicians in zip 46802 | |||
| City | FORT WAYNE |
| Zip Code | 46802 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | FORT WAYNE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Tara J Little.
| 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.