Provider Demographics
NPI:1821452020
Name:GOINS, TARA (CAA)
Entity Type:Individual
Prefix:
First Name:TARA
Middle Name:
Last Name:GOINS
Suffix:
Gender:F
Credentials:CAA
Other - Prefix:
Other - First Name:TARA
Other - Middle Name:
Other - Last Name:HAMMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAA
Mailing Address - Street 1:7115 LUDLUM RD
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:OH
Mailing Address - Zip Code:45152-7517
Mailing Address - Country:US
Mailing Address - Phone:513-532-4656
Mailing Address - Fax:
Practice Address - Street 1:7115 LUDLUM RD
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:OH
Practice Address - Zip Code:45152-7517
Practice Address - Country:US
Practice Address - Phone:513-532-4656
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-13
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant