NPIMap

Individual provider Active NPI

Tara Heintz Lawlor, D.O.

  • Dermatology Physician
  • Reading, PA
National Provider Identifier
1326088600
Registry record updated Sep 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
OS013616 Issued in PA
Practice address
2901 St. Lawrence Avenue
Suite 200
Reading, PA 19606-2266
Phone
(610) 301-0306
Fax
(610) 592-9333
NPI assigned
Jun 7, 2006
Last updated
Sep 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X OS013616 PA Primary

Addresses

Primary practice location

2901 St. Lawrence Avenue
Suite 200
Reading, PA 19606-2266

Mailing address

2901 St. Lawrence Avenue
Suite 200
Reading, PA 19606-2266
Phone (610) 301-0306

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060824000415 PA Practitioner - Dermatology 5294738647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Philadelphia College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tara H Lawlor Dermatology IncGroup PAC ID 4880900398, 2 clinicians

Practice addresses (Care Compare)

2901 Saint Lawrence Ave
Suite 200
Reading, PA 19606-2266
Phone (610) 301-0306

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions2485
Removal or shaving of skin growth102
Skin biopsy414

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS013616PAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tara H Lawlor Dermatology Inc Dermatology CurrentSince Sep 1, 2015 Accepting new patients

Locations

2901 Saint Lawrence Ave
Ste 200
Reading, PA 19606
Phone (610) 301-0306

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1326088600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 ST. LAWRENCE AVENUE",
            "address_2": "SUITE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062266",
            "telephone_number": "610-301-0306",
            "fax_number": "610-628-9011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 ST. LAWRENCE AVENUE",
            "address_2": "SUITE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196062266",
            "telephone_number": "610-301-0306",
            "fax_number": "610-592-9333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWLOR",
        "first_name": "TARA",
        "middle_name": "HEINTZ",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "OS013616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reading, PA

Sources for this page

Verify at the official NPI Registry.