Organization Active NPI

Tara Connor DO PA

  • Family Medicine Physician
  • Inverness, FL
National Provider Identifier
1245432111
Registry record updated Feb 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS8408 Issued in FL
Legal business name
TARA CONNOR DO PA
Practice address
2401 Forest Dr
Inverness, FL 34453-3720
Phone
(352) 344-3777
Fax
(352) 344-2546
NPI assigned
Jun 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2008

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

Authorized official

Name
Tara Connor, DONPI 1417998915
Title
President Physician
Phone
(352) 344-3777

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X OS8408 FL Primary

Addresses

Primary practice location

2401 Forest Dr
Inverness, FL 34453-3720

Mailing address

2401 Forest Dr
Inverness, FL 34453-3720
Phone (352) 344-3777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624000215 FL Part B Supplier - Clinic/Group Practice 8729063581 Receives reassigned benefits from 4 practitioners
Practice locations: Inverness, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1028014Tara Connor DO PA2401 Forest Dr, Inverness, FL 34453Certificate of waiverMay 3, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1180915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204156800000",
    "number": "1245432111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533720",
            "telephone_number": "352-344-3777",
            "fax_number": "352-344-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 FOREST DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533720",
            "telephone_number": "352-344-3777",
            "fax_number": "352-344-2546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA CONNOR DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-04",
        "last_updated": "2008-02-28",
        "status": "A",
        "authorized_official_last_name": "CONNOR",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "PRESIDENT  PHYSICIAN",
        "authorized_official_telephone_number": "352-344-3777",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Inverness, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.