Organization Active NPI

Bonnie Tatar

  • Foot & Ankle Surgery Podiatrist
  • Pittsburgh, PA
National Provider Identifier
1194907345
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC003424-L Issued in PA
Legal business name
BONNIE TATAR
Practice address
5701 Centre Ave Ste L1
Pittsburgh, PA 15206-3744
Phone
(412) 361-3668
Fax
(412) 361-4207
NPI assigned
Nov 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Authorized official

Name
Bonnie S Tatar, DPM
Title
Owner
Phone
(412) 361-3668

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X SC003424-L PA Primary

Addresses

Primary practice location

5701 Centre Ave Ste L1
Pittsburgh, PA 15206-3744

Mailing address

5701 Centre Ave Ste L1
Pittsburgh, PA 15206-3744
Phone (412) 361-3668

Other identifiers 1

IdentifierTypeStateIssuer
1275983MedicaidPA

Other names 1

  • Tatar Podiatry Group Doing business as

National Provider Directory

National Provider Directory

Locations

5701 Centre Ave
Ste L1
Pittsburgh, PA 15206
Phone (412) 361-3668

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1194907345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE STE L1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063744",
            "telephone_number": "412-361-3668",
            "fax_number": "412-361-4207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 CENTRE AVE STE L1",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152063744",
            "telephone_number": "412-361-3668",
            "fax_number": "412-361-4207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BONNIE TATAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "TATAR",
        "authorized_official_first_name": "BONNIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-361-3668",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC003424-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275983",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tatar Podiatry Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.