Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OLIVIA GRAYCE TACK, M.D.
ActiveOLIVIA GRAYCE TACK, M.D. is a Pediatrics healthcare provider located in GRANGER, Indiana. NPI 1255371514 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · GRANGER, IN
Registration Details
- NPI Number
- 1255371514
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2006 (20.040171667957 yrs)
- Last Updated
- Nov 24, 2025
- License
-
01062281A (IN)
Practice Information
- Address
-
6913 N MAIN ST STE 200GRANGER, IN, 465308039Browse IN providers · Browse ZIP 46530
- Phone
- 5746474540
- Fax
- 5746472567
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in GRANGER, IN
| Name | Credential | NPI |
|---|---|---|
| DR. MICHAEL JAMES HUDSON | M.D. | 1548258742 |
| DR. DANIEL A BARRETT | MD | 1972593440 |
| DR. KAREN D. DAVIS | M.D. | 1326070236 |
| DR. SHANNA VERMA KAUTZMANN | M.D. | 1134214240 |
| MELISSA ANNE HICKEY | M.D. | 1902004872 |
| DR. CHARISSE D JOHNSON | MD | 1134399025 |
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.