Pakorn Tara, M.D.

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

010-31666 Issued in IN

Practice address

8687 Connecticut St
Suite F
Merrillville, IN 46410-6361

Phone

(219) 769-7800

Fax

(219) 755-0748

NPI assigned

Sep 7, 2006

Sex

Male

Sole proprietor

No

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)

Not 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 and National Provider Directory roles.

• Lake-Porter Cardiovascular PC

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Valparaiso, IN
  • NPI 1972694669
  NPD (past)

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1881797397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8687 CONNECTICUT ST",
            "address_2": "SUITE F",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106361",
            "telephone_number": "219-769-7800",
            "fax_number": "219-755-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8687 CONNECTICUT ST",
            "address_2": "SUITE F",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106361",
            "telephone_number": "219-769-7800",
            "fax_number": "219-755-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARA",
        "first_name": "PAKORN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "010-31666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Talley
• Visa Baje Tan, PT
• Benjamin B Tang, M.D.
• Jacklyn Tanis
• Kellie Tannus
• Pimpa J Tara, M.D.
• Tarangini T. Padhya MD, PC
• Chasity Tarantino, RBT
• Thomas T Tarin, M.D.
• Sarunas Peter Tauras, DDS

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.