Tiffany C. Hartman, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16657 Issued in TX

Practice address

16633 Dallas Pkwy Ste 150
Addison, TX 75001-6812

Phone

(972) 380-0030

NPI assigned

Apr 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Tiffany P. Croll Former name

Medicare fee-for-service enrollment

Enrolled in LA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arlington Neurosurgeons, PLLCGroup PAC ID 8022333582, 46 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medical Center of McKinney Hospital, McKinney, TX, CCN 450403
• Medical City Plano Hospital, Plano, TX, CCN 450651

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Arlington Neurosurgeons, PLLC

  • Neurological Surgery Physician
  • McKinney, TX
  • NPI 1609285170
  Medicare reassignment Care Compare group
• Ochsner Clinic LLC

  • General Practice Physician
  • New Orleans, LA
  • NPI 1538151428
  Medicare reassignment
• Ochsner Clinic LLC

  • General Practice Physician
  • Plaquemine, LA
  • NPI 1013252360
  NPD
• Ochsner Clinic LLC

  • Registered Dietitian
  • Covington, LA
  • NPI 1013747039
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Columbia Medical Center of McKinney Subsidiary LP

  • General Acute Care Hospital
  • McKinney, TX
  • NPI 1437102639
  Care Compare affiliation
• Columbia Medical Center of Plano Subsidiary LP

  • General Acute Care Hospital
  • Plano, TX
  • NPI 1699726406
  Care Compare affiliation

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1265723993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016812",
            "telephone_number": "972-380-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16633 DALLAS PKWY STE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016812",
            "telephone_number": "972-380-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTMAN",
        "first_name": "TIFFANY",
        "middle_name": "C.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-28",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA.200422.RX",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA16657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2154746",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "CROLL",
            "middle_name": "P.",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carla Michele Harris, MSSC PA-C
• Doris Harris
• Sapheallah N Harris, LCSW
• Stephanie Harris
• Tori Bottiglione Hartline, DC, MS
• Mani Hashemi, MD
• Robert G Hassett, D.O.
• Havencrest Anesthesia PLLC
• Hawk Anesthesia Management, LLC
• Hawthorn Anesthesia Management, LLC

• Physician Assistant in Addison, TX
• Providers in Addison, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.