Antonio Tamara, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

11343 Issued in WV

Practice address

2500 Hospital Drive
City Hospital
Martinsburg, WV 25401-3402

Phone

(304) 264-1212

NPI assigned

May 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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

• Antonio Tamara MD LTD

  • Anatomic Pathology & Clinical Pathology Physician
  • Martinsburg, WV
  • NPI 1053442541
  NPD Authorized official
• Potomac Pathology Consultants Inc

  • Anatomic Pathology & Clinical Pathology Physician
  • Martinsburg, WV
  • NPI 1629160858
  NPD
• City Hospital Inc

  • Psychiatric Hospital Unit
  • Martinsburg, WV
  • NPI 1851539381
  NPD (past)
• City Hospital, Inc.

  • Skilled Nursing Facility
  • Martinsburg, WV
  • NPI 1487745436
  NPD (past)

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370390400000",
    "number": "1043213655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 489",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247010489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL DRIVE",
            "address_2": "CITY HOSPITAL",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013402",
            "telephone_number": "304-264-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMARA",
        "first_name": "ANTONIO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2013-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "WV",
            "license": "11343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110027353",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0101794000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Philomela Martirez Tabuena, MD
• Ashley I Taff
• Cheryl Lim Taitano, MD
• Alexis Talley
• Kameron Talley
• Aura Lucia Tamara, NLMT
• Tammy Grove Hamilton, LLC
• Vigilio M Tan, MD
• Lisa Kay Tanguay, DPT
• Morgan Tapley

• Anatomic Pathology & Clinical Pathology Physician in Martinsburg, WV
• Providers in Martinsburg, WV by specialty
• Anatomic Pathology & Clinical Pathology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.