TARA MARIE STEWART


Address: 11521 N Ranch Road 620 Ste 100, Austin, TX 78726-1112
Phone: 5124026830

TARA MARIE STEWART (NPI# 1346592615) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346592615
Entity Type Individual
Full Name TARA MARIE STEWART
Other Name TARA MARIE HODGE
Credential PA-C
Practice Address 11521 N Ranch Road 620 Ste 100
Austin
TX 78726-1112
Practice Telephone 5124026830
Mailing Telephone 5124026830
Enumeration Date 2012-10-10
Last Update Date 2020-08-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA09071 TX Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant C04875 MD Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
11355 Pembrooke Sq, 108a, Waldorf, MD 206034805 2402522140 2402522141

Other Providers TARA STEWART

NPI Name Taxonomy Address Enumeration
1790110724 Tara Elesia Stewart Counselor 647 34th Ave S, St Petersburg, FL 33705-3730 2013-09-10
1144652405 Tara Marie Stewart Counselor 1106 Druid Rd S, #201, Clearwater, FL 33756-3846 2013-08-08
1184961914 Tara Stewart Pharmacist 1501 Meeting Pl, Orlando, FL 32814-6602 2013-01-14
1548524093 Tara Deann Stewart Emergency Medicine 4401 S Western Ave, Oklahoma City, OK 73109-3413 2012-06-29
1013105923 Tara Stewart Case Manager/Care Coordinator 1510 Byrum Rd, Blytheville, AR 72315-8033 2007-10-05
1659458305 Tara Stewart Day Training/Habilitation Specialist 3853 Rosecrans St, San Diego, CA 92110-3115 2006-11-01
1417043647 Tara L Stewart Specialist 1734 Westbrook Ave, Burlington, NC 27215-8721 2006-10-05

Office Location

Street Address 11521 N RANCH ROAD 620 STE 100
City AUSTIN
State TX
Zip Code 78726-1112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1104385152 Meridian Preferred Network, LLC Durable Medical Equipment & Medical Supplies 11512 Tibee Drive, Austin, TX 78726 2019-03-19
1356709083 Britex Dentist 10200 Boulder Lane, #300, Austin, TX 78726 2016-02-09
1205224490 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 7300 N Fm 620, Austin, TX 78726 2014-12-23
1881933372 Judy Ann Adan Dentist 8300 N Fm 620, Bldg G Ste 100, Austin, TX 78726 2013-02-04
1295974236 Brendan Booker Loehr Dentist Britex Dental 10200 Boulder Lane, Suite 300, Austin, TX 78726 2009-02-16
1174730980 David Eugene Helms Counselor 12112 Anderson Mill Rd, Bldg 12 Ste E, Austin, TX 78726 2007-05-17
1013037480 Four Points Dental Pa Dentist 7301 North Fm 620, Suite 150, Austin, TX 78726 2007-03-30
1043329469 H-e-b, Lp Clinical Medical Laboratory 7301 N Fm 620, Austin, TX 78726 2006-08-30
1063521037 H-e-b, Lp Clinical Medical Laboratory 11521 North Fm 620 Building A, Austin, TX 78726 2006-08-30
1518934413 Thomas Gretzinger Dermatology 12211 Fm 2769, Austin, TX 78726 2006-03-01
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy 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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174123111 Stephanie Rae Moench Physician Assistant 1704 Enfield Rd Apt 102, Austin, TX 78703-3348 2020-10-28
1376140400 April L Thepsoumane Physician Assistant 4808 Hale Dr, Austin, TX 78749-3711 2020-10-01
1366050353 Katherine Elizabeth Mankus Physician Assistant 12319 N Mopac Expy Ste 250, Austin, TX 78758-2499 2020-07-16
1629695044 Brittany Ho Physician Assistant 12601 Scofield Farms Dr, Austin, TX 78727-4542 2020-07-01
1679197925 Malia Scott Physician Assistant 2217 Park Bend Dr, Austin, TX 78758-5365 2020-06-02
1659992451 Christopher Kent Brown Physician Assistant 2200 W 35th St Bldg 8, Austin, TX 78703-1222 2020-05-03
1982236550 Stephen Young Physician Assistant 10001 S Ih 35 Ste 320, Austin, TX 78747-1705 2020-02-11
1528608908 Megan Paige Sutphin Physician Assistant 1333 Shore District Dr Apt 1655, Austin, TX 78741-1317 2020-01-13
1235771403 Central Ortho Assists Pllc Physician Assistant 501 Congress, Suite 150, Austin, TX 78701 2019-10-09
1619528569 Lauren Michelle Feierstein Physician Assistant 4505 Duval St Apt 115, Austin, TX 78751-3225 2019-09-23
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Competitor

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City AUSTIN
Zip Code 78726

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Dataset Information

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.

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