Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Taeja Broadwater, PA-C

Individual provider Medical-Surgical Registered Nurse · NPI 1114152329

MS. Taeja Broadwater, PA-C is a Physician Assistant in Danville, Pennsylvania. Qualified in 2012, 14 years ago. Practices with Carbon Health Medical Group of Florida PA, a 60-clinician group and accepts Medicare assignment. Licensed in Maryland and Pennsylvania.

Years since qualifying
14
Licensed in
MD, PA
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Partly verified

Some contact details are missing from the federal record.

Geisinger Medical Ctr 100 North Academy Dr
Danville, PA 17822-0001
Phone: (570) 271-5555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence MAO55689 (PA)
Medical-Surgical Registered Nurse Taxonomy 163WM0705X · Licence R185137 (MD)

Record details

NPI number1114152329
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 18, 2009
Last updated in NPPESSeptember 27, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Carbon Health Medical Group Of Florida Pa — 60 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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