Tabatha Lynn Boohar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA068129 Issued in PA

Practice address

105 Vineyard Way
West Grove, PA 19390-8849

Phone

(610) 444-7550

NPI assigned

Oct 6, 2026

Last updated

Oct 6, 2026By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1791244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1982508750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VINEYARD WAY",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908849",
            "telephone_number": "610-444-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VINEYARD WAY",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193908849",
            "telephone_number": "610-444-7550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 S 3rd St",
            "address_purpose": "LOCATION",
            "city": "Oxford",
            "state": "PA",
            "postal_code": "193631601",
            "country_code": "US",
            "telephone_number": "610-444-7550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "731 W Cypress St",
            "address_purpose": "LOCATION",
            "city": "Kennett Square",
            "state": "PA",
            "postal_code": "193482419",
            "country_code": "US",
            "telephone_number": "610-444-7550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOOHAR",
        "first_name": "TABATHA",
        "middle_name": "LYNN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-06",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA068129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trace Becker, D.C.
• Larkin Berkley, LPC
• Daniel Barry Block, MD
• J Marc Bobik, DPM
• Jennifer L Bond
• Brandywine Cardiology Associates
• Lisa Breslow, DO
• Steven J Breslow, DO
• Brian C. de Muth, M.D., PA (Chesapeake Sports & Orthopaedics)
• James Christopher Brinton, MPT

• Physician Assistant in West Grove, PA
• Providers in West Grove, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.