Individual provider Active NPI

Tara Lynn McGraw, DO

  • Surgery Physician
  • Scranton, PA
National Provider Identifier
1598156275
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS020682 Issued in PA
Practice address
743 Jefferson Ave Ste 303
Scranton, PA 18510-1639
Phone
(570) 207-0433
Fax
(570) 207-0436
NPI assigned
Feb 16, 2015
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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 OS020682 PA Primary

Addresses

Primary practice location

743 Jefferson Ave Ste 303
Scranton, PA 18510-1639

Mailing address

743 Jefferson Ave Ste 303
Scranton, PA 18510-1639
Phone (570) 207-0433

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200917002877 PA Practitioner - General Surgery 4789988510 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Philadelphia College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Memorial HospitalGroup PAC ID 4082522149, 52 clinicians

Practice addresses (Care Compare)

601 Park St
Honesdale, PA 18431-1445
Phone (570) 253-8101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue34
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Physician Network LLC Surgery CurrentSince Sep 21, 2020 Accepting new patients
Wayne Memorial Hospital CurrentSince Oct 28, 2023 Accepting new patients
Wayne Memorial Hospital CurrentSince Oct 28, 2023 Accepting new patients

Locations

600 Maple Ave
Ste 1
Honesdale, PA 18431
Phone (570) 253-8100

601 Park St
Honesdale, PA 18431
Phone (570) 253-8100

4 E Main St
Nanticoke, PA 18634
Phone (570) 258-3939

746 Jefferson Ave
Ste 303
Scranton, PA 18510
Phone (570) 207-0433

Interoperability endpoints

  • Direct secure messaging: tara.mcgraw.1@30200.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1598156275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE STE 303",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101639",
            "telephone_number": "570-207-0433",
            "fax_number": "570-207-0436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 JEFFERSON AVE STE 303",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101639",
            "telephone_number": "570-207-0433",
            "fax_number": "570-207-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGRAW",
        "first_name": "TARA",
        "middle_name": "LYNN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OS020682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.