Tara Ann Cancellaro
MD | Developmental - Behavioral Pediatrics | Female
Tara Ann Cancellaro, MD is a Greenville, South Carolina based Pediatric doctor with medical specialization in
Developmental - Behavioral Pediatrics.
Current practice location of Tara Ann Cancellaro is
29 N Academy St, Greenville, South Carolina - 29601-2629. She can be contacted on phone at
864-331-1300.
Tara Ann Cancellaro is a sole proprietor of her business.
NPI number (Unique professional ID) for Tara Ann Cancellaro is
1215969167 which was assigned by NPPES on 07 Jul, 2006 and it was last updated on 23 May, 2021.
Tara Ann Cancellaro license number is
23347 for Pediatrics Developmental - Behavioral Pediatrics (2080P0006X) in South Carolina.
Tara Ann Cancellaro is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Complete Profile:
Tara Ann Cancellaro basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Developmental - Behavioral Pediatrics |
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| Provider Name : | Tara Ann Cancellaro |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Tara Ann Cancellaro address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 29 N Academy St
Greenville, SC, 29601-2629
United States |
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| Phone Number : | 864-331-1300 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1215969167 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jul, 2006 |
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| Last Updated On : | 23 May, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tara Ann Cancellaro are as mentioned. Primary taxonomy code for Tara Ann Cancellaro, MD is
2080P0006X (Pediatrics Developmental - Behavioral Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080P0006X | Pediatrics Developmental - Behavioral Pediatrics | Yes | 23347 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Tara Ann Cancellaro such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| T75335 | MEDICAID | SC | |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | tcancellaro5583@direct.ghs.myhfn.org
| No affiliation | DIRECT
Direct
| OTHER
Other
tcancellaro5583@direct.ghs.myhfn.org | 29 N ACADEMY ST,
GREENVILLE, SC, 29601-2629
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 300 E Mcbee Ave Fl 4
Greenville, SC, 29601-2842
United States |
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| Phone Number : | 864-522-8617 |
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Business Location:
Patients can refer following map for directions to
Tara Ann Cancellaro practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.