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

Tara N Banville, PA-C

Individual provider Physician Assistant · NPI 1447651161

Tara N Banville, PA-C is a Physician Assistant in Bethlehem, Pennsylvania. Qualified in 2014, 12 years ago. Practices with St Lukes Physician Group Inc, a 2,127-clinician group and accepts Medicare assignment.

Years since qualifying
12
In the registry since
2014
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

801 Ostrum St
Bethlehem, PA 18015-1000
Phone: (484) 526-4000
Fax: (484) 526-6500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1447651161
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 12, 2014
Last updated in NPPESJune 3, 2021
Certification dateJune 3, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice St Lukes Physician Group Inc — 2127 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations21 on file with Medicare

Other providers in Bethlehem