Provider Profile

Taeja Broadwater, PA-C

Unclaimed Profile

About Taeja Broadwater

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Education & Training

School Other Graduated: 2012

Specialty

Physician Assistant — Surgical (Primary)
Physician Assistant — Surgical (Additional)

Credentials & Licensing

PA licenseMAO55689
MD licenseR185137
NPI1114152329
NPI issued05/18/2009

License numbers are what the provider reported to NPPES when the NPI was issued or updated. NPPES does not verify licensure; confirm current standing with the state licensing board.

Medicare information

Accepts Medicare assignmentYes
Medicare opt-outNo
Can order and refer in MedicareYes

Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.

Common questions

What kind of doctor is Taeja Broadwater?

Taeja Broadwater is a physician assistant in Danville, PA. That is the designation recorded for this NPI in the federal registry, where it is listed as “Physician Assistant — Surgical”.

NPI registry

What is Taeja Broadwater's address?

Taeja Broadwater is listed at Geisinger Medical Ctr 100 North Academy Drive, Danville, PA 17822. Addresses come from the NPI registry and can lag a move, so confirm before travelling.

NPI registry

How can I make an appointment with Taeja Broadwater?

The number on file is (570) 271-5555. Guide.md cannot book appointments or pass on messages — please call the office directly.

NPI registry

What is the NPI for Taeja Broadwater?

Taeja Broadwater's National Provider Identifier is 1114152329. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.

NPI registry

Where did Taeja Broadwater train?

Taeja Broadwater attended Other, graduating in 2012. This comes from the CMS National Downloadable File.

CMS public data

How much experience does Taeja Broadwater have?

Taeja Broadwater has 14 years experience. Calculated from a graduation year of 2012, reported in the CMS National Downloadable File.

CMS public data

Is Taeja Broadwater's profile verified?

Not yet. This profile is built from public federal data and has not been confirmed by Taeja Broadwater. If this is you, claiming it is free.

Guide.md

Provider data sourced from the NPPES NPI Registry and CMS public datasets. Information is provided for reference and is not medical advice.