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

Tara Tabbaa, PA-C

Individual provider Family Medicine Physician · NPI 1003417551

Tara Tabbaa, PA-C is a Physician Assistant in Willoughby Hills, Ohio. Qualified in 2020, 6 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Ohio.

Years since qualifying
6
Licensed in
IL, OH
In the registry since
2020
Specialties on file
3
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

2570 Som Center Rd
Willoughby Hills, OH 44094-9607
Phone: (440) 943-2500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.006628RX (OH)
Family Medicine Physician Taxonomy 207Q00000X · Licence 085.007935 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085-007935 (IL)

Record details

NPI number1003417551
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 2, 2020
Last updated in NPPESNovember 24, 2021
Certification dateNovember 24, 2021
Mailing address6618 Brettin Dr, Independence, OH 44131-6541

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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