Organization Active NPI

Barry S. Tatar, MD, LLC

  • Otolaryngology Physician
  • Elkridge, MD
National Provider Identifier
1053550087
Registry record updated Feb 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D33303 Issued in MD
Legal business name
BARRY S. TATAR, MD, LLC
Practice address
8178 Lark Brown Rd
Suite 101
Elkridge, MD 21075-6424
Phone
(410) 799-3940
NPI assigned
Feb 15, 2009
Last updated
Feb 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2009

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

Authorized official

Name
Barry S. Tatar, M.D.NPI 1386639466
Title
President
Phone
(410) 997-1659

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X D33303 MD Primary

Addresses

Primary practice location

8178 Lark Brown Rd
Suite 101
Elkridge, MD 21075-6424

Mailing address

8178 Lark Brown Rd
Suite 101
Elkridge, MD 21075-6424
Phone (410) 799-3940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090324000148 MD Part B Supplier - Clinic/Group Practice 8426115254 Receives reassigned benefits from 1 practitioner
Practice locations: Elkridge, MD

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234656000000",
    "number": "1053550087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8178 LARK BROWN RD",
            "address_2": "SUITE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756424",
            "telephone_number": "410-799-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8178 LARK BROWN RD",
            "address_2": "SUITE 101",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210756424",
            "telephone_number": "410-799-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY S. TATAR, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-15",
        "last_updated": "2009-02-15",
        "status": "A",
        "authorized_official_last_name": "TATAR",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-997-1659",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D33303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.