Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TARA MARIE FORMISANO, DO
ActiveTARA MARIE FORMISANO, DO is a Obstetrics & Gynecology healthcare provider located in BEAUFORT, South Carolina. NPI 1548720121 is currently active in the NPPES registry. Verify at CMS.
Obstetrics & Gynecology · BEAUFORT, SC
Registration Details
- NPI Number
- 1548720121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 21, 2019 (7.3794504255577 yrs)
- Last Updated
- Sep 4, 2025
- Licenses
-
94477 (SC)1015917 (MA)
Practice Information
- Address
-
1264 RIBAUT RDBEAUFORT, SC, 299026123Browse SC providers · Browse ZIP 29902
- Phone
- 8439877400
- Primary Specialty
-
Obstetrics & Gynecology
207V00000X
- Additional Specialty
- Family Medicine
Other Obstetrics & Gynecology Providers in BEAUFORT, SC
| Name | Credential | NPI |
|---|---|---|
| DR. GREGORY A MILLER | M.D. | 1740257799 |
| GLENN L WERNER | MD | 1871548479 |
| MS. LISA CHANEL JACKSON | M.D. | 1912923996 |
| DR. JOHN FONTANA | MD | 1043228752 |
| SUSAN R COKER | PA | 1073522660 |
| DR. PATRICIA A THOMPSON | MD | 1245335454 |
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.