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

Tammy Renee Backen, MEDICALASSISTANT

Individual provider Physician Assistant · NPI 1497451314

Tammy Renee Backen, MEDICALASSISTANT is a Physician Assistant in Martinsville, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

510 Grand Valley Blvd
Martinsville, IN 46151-5883
Phone: (765) 516-6292
Fax: (765) 349-7688
Show map & directions

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

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence E5Z6Y6E3 (IN)
Physician Assistant Taxonomy 363A00000X · Licence E5Z6Y6E3 (IN)

Record details

NPI number1497451314
Entity typeIndividual (Type 1)
GenderFemale
Credentials MEDICALASSISTANT
Sole proprietorYes
NPI enumeratedFebruary 2, 2023
Last updated in NPPESFebruary 6, 2023
Certification dateFebruary 6, 2023