Tara Louise Edmiston, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

P58386 Issued in NY

Practice address

515 Main St
Olean, NY 14760-1513

Phone

(716) 817-2938

Fax

(716) 692-4342

NPI assigned

Jul 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Exigence Hospitalist Medical Services of Erie County, PLLC

  • Emergency Medicine Physician
  • Buffalo, NY
  • NPI 1366636730
  NPD (past)
• Exigence Hospitalist Medical Services of Lewiston, PLLC

  • Hospitalist Physician
  • Lewiston, NY
  • NPI 1508986332
  NPD (past)
• Exigence Hospitalist Medical Services of Olean, PLLC

  • Hospitalist Physician
  • Olean, NY
  • NPI 1417179094
  NPD (past)
• Exigence Hospitalist Medical Services of Western New York, PLLC

  • Hospitalist Physician
  • Buffalo, NY
  • NPI 1700050523
  NPD (past)

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1396945374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3398",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142403398",
            "telephone_number": "716-692-3302",
            "fax_number": "716-692-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MAIN ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147601513",
            "telephone_number": "716-817-2938",
            "fax_number": "716-692-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDMISTON",
        "first_name": "TARA",
        "middle_name": "LOUISE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-19",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "P58386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren M Dynda, DPT
• Michelle Dzuroff
• Kevin Christopher Eagan, PSYCHOLOGIST
• Wendy L Eaton, RN
• Eckerd Corporation (Rite Aid Pharmacy 10875)
• Edward F Jordan MD PC
• Neil Edwards
• Erin Ehinger
• Hussein Elattar, MD
• Madeline Evelyn Elliott, MS, OTR/L

• Physician Assistant in Olean, NY
• Providers in Olean, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; 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.