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

Tara J Edick, PA

Individual provider Physician Assistant · NPI 1972523850

Tara J Edick, PA is a Physician Assistant in Denver, Colorado. Qualified in 2002, 24 years ago. Practices with Summit Community Care Clinic Inc, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado.

Years since qualifying
24
Licensed in
CO
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

777 Bannock St Mc 7782
Denver, CO 80204-4507
Phone: (303) 436-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 360 Peak One Dr Ste 100, Frisco, CO 80443-5948 — (970) 668-4040

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1653 (CO)

Record details

NPI number1972523850
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Summit Community Care Clinic Inc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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