NPIMap

Individual provider Active NPI

Tara Laverne Grahovac, M.D.

  • Surgery Physician
  • Bethel Park, PA
National Provider Identifier
1538480561
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-439802 Issued in PA
Practice address
2000 Oxford Dr
Suite 301
Bethel Park, PA 15102-1827
Phone
(412) 942-7850
Fax
(412) 942-7819
NPI assigned
Jun 14, 2010
Last updated
Mar 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD-439802 PA Primary

Addresses

Primary practice location

2000 Oxford Dr
Suite 301
Bethel Park, PA 15102-1827

Mailing address

1000 Bower Hill Rd
Attn St Clair Hospital - Affiliate Billing - Pamalyn
Pittsburgh, PA 15243-1873
Phone (412) 942-2548

Other names 1

  • Tara Laverne Doyle Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Pamalyn.Patnesky@stclair.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20221102000526 SC Practitioner - General Surgery 0547458911 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Cincinnati College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaufort County Memorial HospitalGroup PAC ID 7810809365, 197 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

122 Okatie Ctr Blvd N
Suite 150
Okatie, SC 29909-3783
Phone (843) 704-8940

3000 Saint Matthews Rd
Orangeburg, SC 29118-1442
Phone (803) 395-3400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy56
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-439802PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jul 1, 2025 Accepting new patients
Beaufort County Memorial Hospital Surgery CurrentSince Jun 27, 2022 Accepting new patients
St Clair Medical Services, Inc. Current Accepting new patients
Musc Community Physicians Surgery Current Accepting new patients
Beaufort County Memorial Hospital CurrentSince Jun 27, 2022 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2025 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

1000 Bower Hill Rd
Fl 2
Pittsburgh, PA 15243
Phone (412) 942-4272

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

955 Ribaut Rd
Beaufort, SC 29902
Phone (803) 522-5200

122 Okatie Center Blvd N
Ste 150
Okatie, SC 29909
Phone (843) 704-8940

122 Okatie Center Blvd N
Ste 230
Okatie, SC 29909
Phone (843) 757-7700

3000 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 395-2200

Organizations & group practices 7

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 7

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1538480561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BOWER HILL RD",
            "address_2": "ATTN ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152431873",
            "telephone_number": "412-942-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OXFORD DR",
            "address_2": "SUITE 301",
            "city": "BETHEL PARK",
            "state": "PA",
            "postal_code": "151021827",
            "telephone_number": "412-942-7850",
            "fax_number": "412-942-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHOVAC",
        "first_name": "TARA",
        "middle_name": "LAVERNE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD-439802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Pamalyn.Patnesky@stclair.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Pamalyn.Patnesky@stclair.org",
            "address_1": "2000 Oxford Dr",
            "address_2": "Suite 301",
            "city": "Bethel Park",
            "state": "PA",
            "country_code": "US",
            "postal_code": "151021827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TARA",
            "last_name": "DOYLE",
            "middle_name": "LAVERNE",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bethel Park, PA

Sources for this page

Verify at the official NPI Registry.