Mona Mynnel Tara, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD15235 Issued in OR

Practice address

714 NW 5TH St
Grants Pass, OR 97526-1529

Phone

(541) 244-2292

Fax

(541) 244-2292

NPI assigned

Oct 17, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Asante Physician Partners

  • Family Medicine Physician
  • Medford, OR
  • NPI 1922381326

  Internal Medicine

  NPD (past)
• Southern Oregon Hospitalists PC

  • Hospitalist Physician
  • Medford, OR
  • NPI 1508816794
  NPD (past)

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291161600000",
    "number": "1770572380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 NW 5TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261529",
            "telephone_number": "541-244-2292",
            "fax_number": "541-244-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 NW 5TH ST",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975261529",
            "telephone_number": "541-244-2292",
            "fax_number": "541-244-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARA",
        "first_name": "MONA",
        "middle_name": "MYNNEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-17",
        "last_updated": "2010-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD15235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Leigh Tabler, MD
• Heather Talay
• Kimberly Rivers Tambellini, LMT
• Terry Louise Tamraz, RN
• Megan Tangeman, LMT
• Amanda Lee Tardif
• Stephanie Lynn Tarzian
• Sahar Tashakor, PHARM.D.
• Kathleen Ann Tatom
• Brynn Jenny Louise Taylor, MD

• Internal Medicine Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Internal Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.