Individual provider Active NPI

Tara L Batz, PA-C

  • Physician Assistant
  • Altamonte Springs, FL
National Provider Identifier
1639282841
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9103829 Issued in FL
Practice address
711 E Altamonte Dr Ste 210
Altamonte Springs, FL 32701-4824
Phone
(407) 303-5452
Fax
(407) 303-5448
NPI assigned
Aug 15, 2006
Last updated
Dec 10, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9103829 FL Primary

Addresses

Primary practice location

711 E Altamonte Dr Ste 210
Altamonte Springs, FL 32701-4824

Mailing address

711 E Altamonte Dr Ste 210
Altamonte Springs, FL 32701-4824
Phone (407) 303-5452

Other identifiers 1

IdentifierTypeStateIssuer
PA9103829OtherFLLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061026000281 FL Practitioner - Physician Assistant 6002813557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reflections Dermatology and Center for Skin Care PLLCGroup PAC ID 2062509987, 5 clinicians

Practice addresses (Care Compare)

440 W Morse Blvd
Winter Park, FL 32789-4206
Phone (407) 895-8818

875 Outer Rd
Orlando, FL 32814-6652
Phone (407) 895-8818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9103829FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
German Montoya, M.D.PA Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544400000000",
    "number": "1639282841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 E ALTAMONTE DR STE 210",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014824",
            "telephone_number": "407-303-5452",
            "fax_number": "407-303-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 E ALTAMONTE DR STE 210",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327014824",
            "telephone_number": "407-303-5452",
            "fax_number": "407-303-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATZ",
        "first_name": "TARA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2018-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9103829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA9103829",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.