National Provider Identifier
Mackenzie Tatar, PA
Mackenzie Tatar, PA is listed in the NPPES registry with a primary specialty of Physician Assistant in Boston, MA and a listed phone number of (617) 638-5633.
Source: public NPPES record, last updated February 19, 2026. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1457069494
- Provider Type
- Individual
- Primary Specialty
- Physician Assistant
- Enumeration Date
- November 08, 2022
- Last Updated
- February 19, 2026
Practice Location
- 725 Albany St Ste 4B
- Boston, MA 02118-3549
Phone: (617) 638-5633
Mailing Address
- 960 Massachusetts Ave
- Fl 2
- Boston, MA 02118
Specialties
- Physician Assistant (363A00000X)
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Biography
Mackenzie Tatar is a Massachusetts physician assistant whose public profile lists her with Signature Healthcare Medical Group and notes an affiliation with Signature Healthcare Brockton Hospital. She completed her PA training in 2022 and has listed practice locations in both Boston and Brockton.
Full Record
- NPI
- 1457069494
- Entity Type
- Individual
- Last Name
- Tatar
- First Name
- Mackenzie
- Credential
- PA
- Provider Other Last Name
- Bonner
- Provider Other First Name
- Mackenzie
- Provider Other Credential Text
- PA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 960 Massachusetts Ave
- Mailing Address Line 2
- Fl 2
- Mailing City
- Boston
- Mailing State
- MA
- Mailing ZIP Code
- 02118
- Mailing Country
- US
- Practice Street Address
- 725 Albany St Ste 4B
- Practice City
- Boston
- Practice State
- MA
- Practice ZIP Code
- 02118-3549
- Practice Country
- US
- Practice Phone
- (617) 638-5633
- Practice Fax
- (617) 414-5226
- Enumeration Date
- November 08, 2022
- Last Updated
- February 19, 2026
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- February 19, 2026
- Taxonomies
- Physician Assistant (363A00000X)