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Tara Passow, M. D.
NPI 1780619163 · Dermatology Physician · Beaver Dam, WI
Tara Passow, M. D. is a Dermatology Physician provider in Beaver Dam, WI (NPI 1780619163).
Provider details
- NPI number
- 1780619163
- Entity type
- Individual
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M. D.
- Sex
- Female
- Sole proprietor
- No
- License
- 24736 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
700 Hillcrest Ct
Beaver Dam, WI 53916-2418
Phone: (920) 885-2622
Fax: (920) 885-4419
Street-level locationGet directions
Mailing address
801 York St
Manitowoc, WI 54220-4630
Registry dates
- Enumerated
- 2006-07-12
- Last updated
- 2012-03-20
Frequently asked questions
- What is Tara Passow's NPI number?
- Tara Passow's National Provider Identifier (NPI) is 1780619163, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tara Passow's specialty?
- Tara Passow is listed in the NPPES registry with a primary specialty of Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Tara Passow located?
- Tara Passow's practice location on file with NPPES is 700 Hillcrest Ct, Beaver Dam, WI 53916-2418.
- What is Tara Passow's phone number?
- The practice phone number listed in the NPPES registry for Tara Passow is (920) 885-2622.
- Is Tara Passow's NPI active?
- Yes — Tara Passow's NPI (1780619163) is active in the NPPES registry as of the last update on 2012-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.