Tara L Passow (NPI# 1780619163, PAC ID# 1759271372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1780619163 |
| PAC ID by PECOS | 1759271372 |
| Professional Enrollment ID | I20040318000285 |
| Full Name | Tara L Passow |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Address |
700 Hillcrest Ct Beaver Dam WI 53916-2418 |
| Phone Number | 9208852622 |
| Gender | F |
| Credential | MD |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 1981 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3779471701 |
| Number of Group Practice Members | 289 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 700 Hillcrest Ct, Beaver Dam, WI 53916-2418 | 9208852622 | FOREFRONT DERMATOLOGY SC |
| 1400 Scheuring Rd, De Pere, WI 54115-1067 | 9209640229 | FOREFRONT DERMATOLOGY SC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 84% | |
| MIPS_EC_138_overall | Melanoma: Coordination of Care | 71% | |
| MIPS_EC_224_overall | Melanoma: Overutilization of Imaging Studies in Melanoma | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_265_overall | Biopsy Follow-Up | 40% |
| Organization Legal Name | FOREFRONT DERMATOLOGY SC |
| Physicians | 289 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christian Wichterman | Dermatology | Forefront Dermatology Sc | 305 E Eisenhower Pkwy, Suite 320, Ann Arbor, MI 48108-3354 |
| Lindsay Michelle Stevens | Nurse Practitioner | Forefront Dermatology Sc | 2246 N Pointe Dr, Warsaw, IN 46582-9042 |
| Miriam Pearl Finkel | Dermatology | Forefront Dermatology Sc | 2790 Mosside Blvd, Suite 720, Monroeville, PA 15146-2757 |
| Stephanie Mathews Kazantsev | Dermatology | Forefront Dermatology Sc | 2051 Plainfield Rd, Crest Hill, IL 60403-1865 |
| Sonam Rama | Dermatology | Forefront Dermatology Sc | 706 W Huron St, Ann Arbor, MI 48103-4212 |
| Danielle Marie Waymire | Dermatology | Forefront Dermatology Sc | 1320 Pabst Farms Cir, Unit 180, Oconomowoc, WI 53066-4878 |
| Marie Saxon Ford | Nurse Practitioner | Forefront Dermatology Sc | 2333 Ring Rd, Elizabethtown, KY 42701-9162 |
| Sarah Campbell | Dermatology | Forefront Dermatology Sc | 913 Menoher Blvd, Johnstown, PA 15905-2834 |
| Gregory Dougan | Physician Assistant | Forefront Dermatology Sc | 911 N Shelby St, Salem, IN 47167-2304 |
| Emily N Williams | Physician Assistant | Forefront Dermatology Sc | 100 N Town Ctr Rd, Suite C, Mooresville, IN 46158-2322 |
| Street Address |
700 HILLCREST CT |
| City | BEAVER DAM |
| State | WI |
| Zip | 53916-2418 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jordan Mark Kluewer | Chiropractic | 1229 N Ctr St, Beaver Dam, WI 53916-1147 | |
| Jill A Rubert | Chiropractic | Rubert Chiropractic Ltd | 1229 N Ctr St, Beaver Dam, WI 53916-1147 |
| Thomas W Hyke | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Kimberly Ruth Schoenberger | Physical Therapy | Physical Therapy Solutions, Inc | 108 Parallel St, Beaver Dam, WI 53916-1335 |
| Leon S Kuhs | Psychiatry | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| James O Niemeier | Clinical Psychologist | Agnesian Healthcare Inc | 200 Front St, 3d, Beaver Dam, WI 53916-1667 |
| Jerome Edward Tyjeski | Chiropractic | 119 E Mackie St, Beaver Dam, WI 53916-2031 | |
| Matthew C Niesen | Orthopedic Surgery | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Brianne Trevorrow | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Bret A Achterberg | Physical Therapy | Prairie Ridge Health Inc. | 118 W Maple Ave, Beaver Dam, WI 53916-2104 |
| Find all physicians in zip 53916 | |||
| City | BEAVER DAM |
| Zip Code | 53916 |
| Specialty | DERMATOLOGY |
| City + Specialty | BEAVER DAM + DERMATOLOGY |
Please comment or provide details below to improve the information on Tara L Passow.
| 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.