NPIMap

Individual provider Active NPI

Tara Degnan, PA-C

  • Physician Assistant
  • Pittsburgh, PA
National Provider Identifier
1023665460
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2201 Park Manor Blvd
Pittsburgh, PA 15205-4819
Phone
(127) 496-9204
Fax
(412) 749-6779
NPI assigned
Aug 21, 2019
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

2201 Park Manor Blvd
Pittsburgh, PA 15205-4819

Mailing address

2201 Park Manor Blvd
Pittsburgh, PA 15205-4819
Phone (127) 496-9204

Other practice location 1

300 Penn Lincoln Dr
Imperial, PA 15126-9772
Phone (724) 773-3001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191015001847 PA Practitioner - Physician Assistant 9335470830 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2201 Park Manor Blvd
Pittsburgh, PA 15205-4819

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc CurrentSince Aug 21, 2019 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Oct 18, 2021 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Orthopaedic Surgery CurrentSince Oct 18, 2021 Accepting new patients
Upmc Community Medicine Inc CurrentSince Aug 21, 2019 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

2580 Constitution Blvd
Beaver Falls, PA 15010
Phone (724) 770-7999

300 Penn Lincoln Dr
Imperial, PA 15126
Phone (724) 695-2411

200 Delafield Rd
Ste 1040
Pittsburgh, PA 15215
Phone (412) 782-3990

2201 Park Manor Blvd
Pittsburgh, PA 15205
Phone (412) 749-6920

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Interoperability endpoints

  • Direct secure messaging: taradegnan@hvhs.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1566345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1023665460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 PARK MANOR BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054819",
            "telephone_number": "127-496-9204",
            "fax_number": "412-749-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 PARK MANOR BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152054819",
            "telephone_number": "127-496-9204",
            "fax_number": "412-749-6779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Penn Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Imperial",
            "state": "PA",
            "postal_code": "151269772",
            "country_code": "US",
            "telephone_number": "724-773-3001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEGNAN",
        "first_name": "TARA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-21",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.