DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TARA TABBAA, PA-C

Active

TARA TABBAA, PA-C is a Physician Assistant healthcare provider located in WILLOUGHBY HILLS, Ohio. NPI 1003417551 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WILLOUGHBY HILLS, OH

Registration Details

NPI Number
1003417551
Provider Type
Individual
Gender
Female
NPI Issued
Nov 2, 2020 (5.7527127380854 yrs)
Last Updated
Nov 24, 2021
Licenses
085.007935 (IL)
085-007935 (IL)
50.006628RX (OH)

Practice Information

Address
2570 SOM CENTER RD
WILLOUGHBY HILLS, OH, 440949607
Browse OH providers · Browse ZIP 44094
Phone
4409432500
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in WILLOUGHBY HILLS, OH

Name Credential NPI
KAITLYN NICOLE GASSER PA-C 1003379793
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.