Provider Demographics
NPI:1497366579
Name:TARTER, HALLI HAYWOOD LARKIN (PA-C)
Entity type:Individual
Prefix:
First Name:HALLI
Middle Name:HAYWOOD LARKIN
Last Name:TARTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HALLI
Other - Middle Name:HAYWOOD
Other - Last Name:LARKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:5115 CENTRE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1301
Mailing Address - Country:US
Mailing Address - Phone:412-647-2811
Mailing Address - Fax:
Practice Address - Street 1:5230 CENTRE AVE FL 3
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1304
Practice Address - Country:US
Practice Address - Phone:141-262-3212
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-12
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant