Active NPIIndividual provider

Dr. Tara K Pelletier, DO

Family Medicine in Biddeford, Maine

NPI Number1124016118
Practice location
11 Hills Beach RD, Biddeford, ME 04005-9599
Fax
207-602-5904
Last updated
August 12, 2024

Tara Kay Pelletier is a Family Medicine based in Biddeford, ME. Tara Kay Pelletier practices in Biddeford, ME and has the professional credentials of DO. The NPI Number for Tara Kay Pelletier is 1124016118 and holds a License No. 224963 (MA). The current practice location address for Tara Kay Pelletier is 11 Hills Beach RD, Biddeford, ME 04005-9599 and can be reached out via phone at 207-602-2358 and via fax at 207-602-5904.

Provider Profile Details

NPI Number
1124016118
Provider Name
Tara Kay Pelletier
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
11 Hills Beach RD, Biddeford, ME 04005-9599
Phone Number
207-602-2358
Fax Number
207-602-5904
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
October 12, 2005
Last Update Date
August 12, 2024
Certification Date
August 12, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
11 Hills Beach RD
Biddeford, ME 04005-9599
State
Maine
Zip
04005-9599
Phone Number
207-602-2358
Fax Number
207-602-5904
Biddeford, ME 04005Get directions →

Provider Business Mailing Address Details

Address
Po Box 284
Brattleboro, VT 05302-0284
City
Brattleboro
State
VT
Zip
05302-0284
Phone Number
207-602-2358
Fax Number
207-602-5904

License Information

License Number (1)
224963
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
DO1957
License State (2)
ME
Taxonomy (2)
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Tara K Pelletier, DO?

The NPI number of Dr. Tara K Pelletier, DO is 1124016118. It was assigned on October 12, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Tara K Pelletier, DO?

Dr. Tara K Pelletier, DO is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 224963.

Where does Dr. Tara K Pelletier, DO practice?

The practice location is 11 Hills Beach RD, Biddeford, ME 04005-9599. The office can be reached at 207-602-2358 (phone) or 207-602-5904 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124016118 directly on the NPPES registry website.

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