Nina Mithi Taggart, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

MD047373L Issued in PA

Practice address

1720 E Broad St
Hazleton, PA 18201-5622

Phone

(570) 455-3391

Fax

(570) 455-9150

NPI assigned

Mar 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211241600000",
    "number": "1780643684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 RUTTER AVE",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187044801",
            "telephone_number": "570-288-7405",
            "fax_number": "570-288-7406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 E BROAD ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015622",
            "telephone_number": "570-455-3391",
            "fax_number": "570-455-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGGART",
        "first_name": "NINA",
        "middle_name": "MITHI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-20",
        "last_updated": "2008-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "MD047373L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001432771",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Sugarman, CRNP
• Surgical Specialists of Hazleton, P. C.
• Cassie Surplus, MA
• Kerry Swiech
• Lisa A Tabbit, DO
• Mary Grace Tambasco
• Paul J Tayoun, DO
• Tech Transport Inc.
• Teresa E Zierden Landmesser
• The Giant Company, LLC (Giant Pharmacy #6081)

• Ophthalmology Physician in Hazleton, PA
• Providers in Hazleton, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.