Tara M Formisano, DO
Obstetrics & Gynecology in Beaufort, South Carolina
1548720121- Practice location
- 1264 Ribaut RD, Beaufort, SC 29902-6123
- Phone
- 843-986-0900
- Fax
- —
- Last updated
- June 23, 2026
Tara Marie Formisano is an Obstetrics & Gynecology based in Beaufort, SC. Tara Marie Formisano practices in Beaufort, SC and has the professional credentials of DO. The NPI Number for Tara Marie Formisano is 1548720121 and holds a License No. 1015917 (MA). The current practice location address for Tara Marie Formisano is 1264 Ribaut RD, Beaufort, SC 29902-6123 and can be reached out via phone at 843-986-0900.
Provider Profile Details
- NPI Number
- 1548720121
- Provider Name
- Tara Marie Formisano
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1264 Ribaut RD, Beaufort, SC 29902-6123
- Phone Number
- 843-986-0900
- Primary Taxonomy
- Obstetrics & Gynecology · 207V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 21, 2019
- Last Update Date
- June 23, 2026
- Certification Date
- June 23, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1264 Ribaut RD
Beaufort, SC 29902-6123 - City
- Beaufort
- State
- South Carolina
- Zip
- 29902-6123
- Phone Number
- 843-986-0900
Provider Business Mailing Address Details
- Address
- 721 Okatie Hwy
Okatie, SC 29909-3963 - City
- Okatie
- State
- SC
- Zip
- 29909-3963
- Phone Number
- 843-987-7400
License Information
- License Number (1)
- 1015917
- License State (1)
- MA
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- 94477
- License State (2)
- SC
- Taxonomy (2)
- Obstetrics & Gynecology · 207V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Obstetrics & Gynecology providers near Beaufort, SC
View all Obstetrics & Gynecology providers in Beaufort →Frequently Asked Questions
What is the NPI number of Tara M Formisano, DO?
The NPI number of Tara M Formisano, DO is 1548720121. It was assigned on March 21, 2019 and is currently active in the NPPES registry.
What is the specialty of Tara M Formisano, DO?
Tara M Formisano, DO is registered under the primary taxonomy Obstetrics & Gynecology (code 207V00000X), licensed in MA under license number 1015917.
Where does Tara M Formisano, DO practice?
The practice location is 1264 Ribaut RD, Beaufort, SC 29902-6123. The office can be reached at 843-986-0900 (phone).
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 1548720121 directly on the NPPES registry website.