Tara McCann Davis, D.O.
Individual provider Active NPI Obstetrics & Gynecology Physician · Bryn Mawr, PA
NPI 1497196364 · NPPES record last updated Feb 20, 2025
Key facts
- NPI
- 1497196364
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Obstetrics & Gynecology Physician 207V00000X
- License
- 125064222 (IL)
- Practice address
- 919 Conestoga Rd Ste 104
Bryn Mawr, PA 19010-1352 - Phone
- (610) 525-6400
- Fax
- (610) 525-1801
- NPI assigned
- Jul 8, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Keystone Rehabilitation Systems Inc
Regional Womens Health Group LLC
Practice addresses (Care Compare)
321 N Furnace St
Birdsboro, PA 19508-2057
Phone (610) 582-2250
919 Conestoga Rd
Suite 104
Bryn Mawr, PA 19010-1352
Phone (610) 525-6400
Hospital & facility affiliations
- Bryn Mawr Hospital
- Main Line Hospital Lankenau
- Paoli Hospital
- Hospital of Univ of Pennsylvania
- Riddle Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171031001134 | PA | Practitioner - Obstetrics/Gynecology | 0840573952 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Womens Health Group LLC | Obstetrics & Gynecology | Current |
Accepting new patients |
| Regional Women'S Health Group, LLC | Obstetrics & Gynecology | Past |
Accepting new patients |
| Main Line Hospitals, Inc. | Past | Accepting new patients |
Locations
919 Conestoga Rd
Ste 104
Bryn Mawr, PA 19010
Phone (610) 525-6400
120 Valley Green Ln
Ste 600
King of Prussia, PA 19406
Phone (610) 525-3225
3855 West Chester Pike
Ste 305
Newtown Square, PA 19073
Phone (215) 732-5590
85 Old Eagle School Rd
Wayne, PA 19087
Phone (610) 688-3744
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 125064222 | IL | Yes |
Addresses
Primary practice location
919 Conestoga Rd Ste 104
Bryn Mawr, PA 19010-1352
Mailing address
919 Conestoga Rd
Bryn Mawr, PA 19010-1352
Phone (610) 525-6400
Other practice location 1
7435 W Talcott Ave
Resurrection OB/Gyne Residency
Chicago, IL 60631-3707
Phone (773) 792-5144
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tara.mccann@axia.eclinicaldirectplus.com | Direct |
Other providers in Bryn Mawr, PA
- Sharon I Davidheiser
- Heather Davidson
- Deborah Ann Davis-Augustine
- Amy Davis
- Caroline K Davis
- Amy M Day
- Francis P. Day
- Megan C Day
- Nancy Day
- Robert Day
All providers in Bryn Mawr, PA · Obstetrics & Gynecology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.