Search › Indiana › 363A00000X
Tara Rudisill, PA-C
NPI 1982971719 · on the registry since 2011
Practice
- Address
- 2605 E Creeks Edge Dr
Bloomington, IN 47401 - Phone
- (812) 333-2663
- Organisation at this address
- Ima East Primary Care
Premier Healthcare, Llc
Iu Health Medical Group, Llc
St. Vincent Medical Group, Inc.
Indiana University Health Southern Indiana Physicians, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Additional practice sites
- 417 N 11th St, Richmond, VA
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- VA, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-02-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana