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

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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