MR. ANTHONY DAVID TARR FNP-C NPI 1821530304

NPI Information

NPI: 1821530304
Provider Name: MR. ANTHONY DAVID TARR, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: FAIRVIEW HEIGHTS MEDICAL GROUP SC

PECOS Registration: Yes

Address:
4600 MEMORIAL DR STE 120
BELLEVILLE, IL
ZIP 62226
Phone: (618) 222-1020
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MR. Anthony David Tarr, FNP-C is a family nurse practitioner in Belleville, IL with 7 years of experience. MR. Anthony David Tarr, FNP-C NPI is 1821530304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4600 MEMORIAL DR STE 120
BELLEVILLE, IL
ZIP 62226-359
Phone: (618) 222-1020

The NPI 1821530304 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/15/2016 and was last updated on 5/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WC0200X	Registered Nurse	Critical Care Medicine	041405030	ILLINOIS	No
2	163WC0200X	Registered Nurse	Critical Care Medicine	2012004299	MISSOURI	No
3	363LF0000X	Nurse Practitioner	Family	209016200	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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