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

Tara Perdue, PA

Individual provider Medical Physician Assistant · NPI 1346509221

Tara Perdue, PA is a Physician Assistant in Elizabethtown, Kentucky. Qualified in 2011, 15 years ago. Practices with Providence Health and Services- Washington, a 526-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Licensed in
OH
In the registry since
2012
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

913 N Dixie Ave
Elizabethtown, KY 42701-2503
Phone: (877) 783-6257
Fax: (859) 514-5521
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50003403 (OH)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 50.003403 (OH)

Record details

NPI number1346509221
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 11, 2012
Last updated in NPPESOctober 12, 2015
Mailing address913 N Dixie Ave, Elizabethtown, KY 42701-2503

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Providence Health And Services- Washington — 526 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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