Tara Thurlby Muscovich, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

D46992 Issued in MD

Practice address

1438 Defense Highway
Suite 201
Gambrills, MD 21054

Phone

(410) 721-3200

Fax

(410) 721-2680

NPI assigned

May 28, 2006

Last updated

Mar 21, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553126400000",
    "number": "1619924263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1438 DEFENSE HIGHWAY",
            "address_2": "SUITE 201",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "21054",
            "telephone_number": "410-721-3200",
            "fax_number": "410-721-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1438 DEFENSE HIGHWAY",
            "address_2": "SUITE 201",
            "city": "GAMBRILLS",
            "state": "MD",
            "postal_code": "21054",
            "telephone_number": "410-721-3200",
            "fax_number": "410-721-2680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSCOVICH",
        "first_name": "TARA",
        "middle_name": "THURLBY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2019-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D46992",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Mondi
• Shelby Alexis Mongelluzzo, M.S. CCC-SLP
• Emily Katherine Moreland, OTA
• Kate Morris, OTR/L
• Darren Michael Moulden, PHARM.D.
• Nichole Lauren Muzii-Mills, AU.D.
• Deanne Lorraine Myers, R.N.
• Myeyedr Optometry of Maryland, LLC (MyEyeDr.)
• Rebecca J. Mysiuk, CRNP
• Nai Saturn Eastern LLC (Safeway Pharmacy #1596)

• Family Medicine Physician in Gambrills, MD
• Providers in Gambrills, MD by specialty
• Family Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.