Tara L Gustilo in Newport - Obstetrics & Gynecology
Tara L Gustilo - NPI 1710913900
Tara L Gustilo is a Obstetrics & Gynecology in Newport, Tennessee. Tara L Gustilo practices all healthcare services and medical treatments related to Obstetrics & Gynecology. The NPI Number for Tara L Gustilo is 1710913900. The last update date is 2022-12-05.
Tara L Gustilo's current location address is 434 4th St Ste 305, Newport, Tennessee. You can contact this provider via phone number 4234153330 and fax number 4236131173. The mailing address for Tara L Gustilo is 434 4th St Ste 305, Newport, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tara L Gustilo |
|---|---|
| Address | 434 4th St Ste 305, Newport, Tennessee |
| Phone Number | 4234153330 |
| Fax Number | 4236131173 |
| Sole Proprietor | N |
| Credentials | MD MPH |
NPI Number Detail
| NPI Number | 1710913900 |
|---|---|
| Provider Enumeration Date | 2006-06-23 |
| Last Updated Date | 2022-12-05 |
Provider Mailing Address Detail
| Address | 434 4th St Ste 305 |
|---|---|
| City | Newport |
| State | Tennessee (TN) |
| Post Code | 378213735 |
| Phone Number | 4234153330 |
| Fax Number | 4236131173 |
Provider's Primary Taxonomy Detail
| Speciality | Obstetrics & Gynecology |
|---|---|
| Taxonomy | 207V00000X |
| Licence No | 35084663 |
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Definition: An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2557782 | OH | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tara L Gustilo?
The Tara L Gustilo has been issued the NPI (National Provider Identifier) 1710913900 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Tara L Gustilo's facilities are geographically located?
The facilities of Tara L Gustilo are physically situated at the following location: 434 4Th St Ste 305, Newport, TN, 378213735.
What is Tara L Gustilo's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tara L Gustilo is Obstetrics & Gynecology, and the taxonomy code that classifies this field of practice is 207V00000X.
On what date did Tara L Gustilo receive its 1710913900 assignment from the Centers for Medicare & Medicaid Services?
The Tara L Gustilo was assigned its 1710913900 on 2006-06-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Tara L Gustilo most recently updated?
The details pertaining to the Tara L Gustilo, including its address, specialty, and other relevant information, were last refreshed on 2022-12-05.