Individual provider Active NPI

Tara Hudak Olson, M.D.

  • Obstetrics & Gynecology Physician
  • Damascus, MD
National Provider Identifier
1104184654
Registry record updated Aug 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
D0081604 Issued in MD
Practice address
26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892
Phone
(301) 414-2300
Fax
(301) 414-0476
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X D0081604 MD Primary

Addresses

Primary practice location

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892

Mailing address

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1892
Phone (301) 414-2300

Other names 1

  • Tara Marie Hudak Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161117001583 DC Practitioner - Obstetrics/Gynecology 5799064523 Reassigns benefits to 2 organizations
I20161117002152 MD Practitioner - Obstetrics/Gynecology 5799064523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical University of South Carolina College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maryland Physicians Edge LLCGroup PAC ID 5890913503, 73 clinicians
Simmonds Martin and Helmbrecht LLCGroup PAC ID 7012985492, 23 clinicians

Practice addresses (Care Compare)

26005 Ridge Rd
Suite 200
Damascus, MD 20872-1899
Phone (301) 414-2300

77 Thomas Johnson Dr
Suite H
Frederick, MD 21702-4893
Phone (301) 414-2300

Merit-based Incentive Payment System (MIPS)

Final score
92.23 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0081604MDMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Simmonds, Martin & Helmbrecht, LLC Obstetrics & Gynecology CurrentSince Sep 24, 2016 Accepting new patients
Maryland Physicians Edge LLC CurrentSince Feb 1, 2026 Accepting new patients
Maryland Physicians Edge LLC Obstetrics & Gynecology CurrentSince Feb 1, 2026 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

26005 Ridge Rd
Ste 200
Damascus, MD 20872
Phone (301) 414-0120

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

77 Thomas Johnson Dr
Ste J
Frederick, MD 21702
Phone (301) 694-8999

77 Thomas Johnson Dr
Ste H
Frederick, MD 21702
Phone (301) 620-7144

77 Thomas Johnson Dr
Ste Hj
Frederick, MD 21702

19735 Germantown Rd
Ste 270
Germantown, MD 20874
Phone (301) 444-8350

11921 Rockville Pike
Ste 400
Rockville, MD 20852
Phone (240) 514-0140

Interoperability endpoints

  • Direct secure messaging: tara.olson.1@17360.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1104184654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD",
            "address_2": "SUITE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721892",
            "telephone_number": "301-414-2300",
            "fax_number": "301-414-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26005 RIDGE RD",
            "address_2": "SUITE 200",
            "city": "DAMASCUS",
            "state": "MD",
            "postal_code": "208721892",
            "telephone_number": "301-414-2300",
            "fax_number": "301-414-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLSON",
        "first_name": "TARA",
        "middle_name": "HUDAK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MD",
            "license": "D0081604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "HUDAK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Damascus, MD

Sources for this page

Verify at the official NPI Registry.