Tudor M Scridon MD PL

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

ME94272 Issued in FL

Legal business name

TUDOR M SCRIDON MD PL

Practice address

1300 36TH St Ste D
Vero Beach, FL 32960-4898

Phone

(772) 226-7380

Fax

(772) 212-0205

NPI assigned

Aug 18, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tudor M Scridon, MDNPI 1407022395

Title

MD

Phone

(772) 226-7380

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDGDCD

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tudor M Scridon, M.D.

  • Cardiovascular Disease Physician
  • Vero Beach, FL
  • NPI 1407022395
  Medicare reassignment Care Compare group NPD Authorized official
• Lorraine M Childs, ARNP

  • Nurse Practitioner
  • Tampa, FL
  • NPI 1558498139
  Medicare reassignment Care Compare group NPD
• Jennifer L Lang, PA-C

  • Surgical Physician Assistant
  • Palm Bay, FL
  • NPI 1417912494
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629244800000",
    "number": "1013149483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 36TH ST STE D",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-226-7380",
            "fax_number": "772-212-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 36TH ST STE D",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604898",
            "telephone_number": "772-226-7380",
            "fax_number": "772-212-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TUDOR M SCRIDON MD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A",
        "authorized_official_last_name": "SCRIDON",
        "authorized_official_first_name": "TUDOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "772-226-7380",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME94272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trustwell Homecare LLC
• TS Surgical, Inc.
• Denise Tucci, APRN
• Jordan Grace Tucker, LM, CPM
• Lindsay Tucker, DNP, FNP-C
• Erica Tudor
• Thet Lin Tun, M.D.
• Janet Lorrain Turban, LMT PTA
• Heidi H Turk, DMD
• Kaitlin Turk

• Cardiovascular Disease Physician in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Cardiovascular Disease Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.