Tara L Gustilo, MDMPH
Tara L Gustilo, MDMPH is an Obstetrics/Gynecology in Newport, Tennessee. Graduated from Mayo Medical School in 1994, 32 years ago. Practices with Champion Physical Therapy LLC Halls, a 280-clinician group and accepts Medicare assignment. Licensed in Ohio.
- Years since qualifying
- 32
- Trained at
- Mayo Medical School
- Licensed in
- OH
- In the registry since
- 2006
Practice location Address checks out
434 4th St Ste 305Newport, TN 37821-3735
Phone: (423) 415-3330
Fax: (423) 613-1173
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Obstetrics & Gynecology Physician (primary) | Taxonomy 207V00000X · Licence 35084663 (OH) |
|---|
Record details
| NPI number | 1710913900 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MDMPH |
| Sole proprietor | No |
| NPI enumerated | June 23, 2006 |
| Last updated in NPPES | December 5, 2022 |
| Certification date | December 5, 2022 |
| Mailing address | 434 4th St Ste 305, Newport, TN 37821-3735 |
Medicare enrollment
| Medicare specialty | OBSTETRICS/GYNECOLOGY |
|---|---|
| Medical school | MAYO MEDICAL SCHOOL |
| Graduated | 1994 (32 years in practice) |
| Group practice | Champion Physical Therapy Llc Halls — 280 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Newport
-
Cocke County Hma LLC
434 4th St Ste 305, Newport, TN 37821-3735 · (423) 613-6381