Active NPI
Tamara L. Dutter, M.D.
- Anesthesiology Physician
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- Q6181
- Practice address
- 1900 Pine St
Abilene, TX 79601-2432 - Phone
- (325) 670-2277
- Fax
- (325) 672-8292
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 036.126897 | IL | |
| Anesthesiology Physician | 207L00000X | 8472 | SD | |
| Anesthesiology Physician | 207L00000X | 7092A | WY | |
| Anesthesiology Physician | 207L00000X | Q6181 | TX | Primary |
Addresses
Primary practice location
1900 Pine St
Abilene, TX 79601-2432
Mailing address
PO Box 1198
Abilene, TX 79604-1198
Phone (325) 670-4372
Other names 1
- Tamara L. Holtan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Minnesota Medical School, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
405 Londonderry Dr
Suite 105
Waco, TX 76712-7920
Phone (254) 776-0266
Hospital & facility affiliations
- Ascension Providence
Merit-based Incentive Payment System (MIPS)
- Final score
- 43.93 of 100
- Quality
- 34.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.126897 | IL | MD | Anesthesiology Physician |
| 8472 | SD | MD | Anesthesiology Physician |
| Q6181 | TX | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holos Wellness, PLLC | Anesthesiology | Current | Accepting new patients |
| Hendrick Anesthesia Network | Current | Accepting new patients | |
| Wyoming Interventional Pain Management LLC | Past | Accepting new patients | |
| Wyoming Interventional Pain Management, P.C. | Past | Accepting new patients |
Locations
1900 Pine St
Abilene, TX 79601
Phone (325) 670-4220
751 N 18th St
Abilene, TX 79601
Phone (915) 676-0557
Interoperability endpoints
- https://api.platform.athenahealth.com/12965/brand/2/csg/1/fhir/r4
Organizations & group practices 5
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.
-
- Anesthesiology Physician
- Waco, TX
- NPI 1174612857
-
- Specialist
- Abilene, TX
- NPI 1851394993
-
- Anesthesiology Physician
- Waco, TX
- NPI 1912607714
-
- Pain Clinic/Center
- Gillette, WY
- NPI 1083942080
-
- Interventional Pain Medicine Physician
- Gillette, WY
- NPI 1427291442
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682294400000",
"number": "1609965698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1198",
"city": "ABILENE",
"state": "TX",
"postal_code": "796041198",
"telephone_number": "325-670-4372",
"fax_number": "605-622-5127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 PINE ST",
"city": "ABILENE",
"state": "TX",
"postal_code": "796012432",
"telephone_number": "325-670-2277",
"fax_number": "325-672-8292"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUTTER",
"first_name": "TAMARA",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2023-04-24",
"certification_date": "2023-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "036.126897",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "SD",
"license": "8472",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WY",
"license": "7092A",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TX",
"license": "Q6181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TAMARA",
"last_name": "HOLTAN",
"middle_name": "L.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.