Tara Jade Boynton, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

C03675 Issued in MD

Practice address

200 E University Pkwy
Suite 655a
Baltimore, MD 21218-2828

Phone

(410) 554-2044

Fax

(410) 554-2198

NPI assigned

Nov 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Tara Jade Chatman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468195200000",
    "number": "1043490303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E UNIVERSITY PKWY",
            "address_2": "SUITE 655A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182828",
            "telephone_number": "410-554-2044",
            "fax_number": "410-554-2198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E UNIVERSITY PKWY",
            "address_2": "SUITE 655A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182828",
            "telephone_number": "410-554-2044",
            "fax_number": "410-554-2198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYNTON",
        "first_name": "TARA",
        "middle_name": "JADE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-05",
        "last_updated": "2016-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MD",
            "license": "C03675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "CHATMAN",
            "middle_name": "JADE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael Patrick Boyle, M.D.
• Rebecca Boyle
• Thomas Arthur Boyle, MD
• Bruce Ryland Boynton, M.D.
• Robin Boynton, C.R.N.A.
• Marie Lynn Bozman, CRNA
• BPW Assessment and Consultation Services
• Devra Brace, AUD
• Nicole Bracewell
• Carla Denise Bracey Davis

• Physician Assistant in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Physician Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.