Tara L. Passow MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

24736 Issued in WI

Legal business name

TARA L. PASSOW MD INC

Practice address

700 Hillcrest CT
Beaver Dam, WI 53916-2418

Phone

(920) 885-2622

Fax

(920) 885-4419

NPI assigned

Aug 23, 2007

Organization subpart

No

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

Authorized official

Name

Tara L Passow, M.D.NPI 1780619163

Title

President

Phone

(920) 885-2622

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tara Passow, M. D.

  • Dermatology Physician
  • Beaver Dam, WI
  • NPI 1780619163
  NPD (past) Authorized official

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

{
    "created_epoch": "1187827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1992998884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 HILLCREST CT",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162418",
            "telephone_number": "920-885-2622",
            "fax_number": "920-885-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 HILLCREST CT",
            "city": "BEAVER DAM",
            "state": "WI",
            "postal_code": "539162418",
            "telephone_number": "920-885-2622",
            "fax_number": "920-885-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA L. PASSOW MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-23",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "PASSOW",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "920-885-2622",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WI",
            "license": "24736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Lorraine Sutter, R.PH.
• Eugene M Swanson, OD
• Kathryn M Swartz, M.D.
• Lynn R Swiggum, A.T.C., L.A.T.
• Elizabeth Marie Szalewski, ATR, LPC
• The Visions Group, Inc.
• Thomas J Kalinosky DO
• Thomas Thompson, H.I.S.
• McKenzie Thorp, MD
• Lori Marie Thuli, LMFT

• Specialist in Beaver Dam, WI
• Providers in Beaver Dam, WI by specialty
• Specialist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2009; 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.