Healthcare Provider Details

I. General information

NPI: 1144281403
Provider Name (Legal Business Name): GREGORY J TARASKA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2006
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3019 N CENTER ST
HICKORY NC
28601-1160
US

IV. Provider business mailing address

3019 N CENTER ST
HICKORY NC
28601-1160
US

V. Phone/Fax

Practice location:
  • Phone: 828-673-8629
  • Fax: 828-318-8149
Mailing address:
  • Phone: 828-673-8629
  • Fax: 828-318-8149

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number36277
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: