NPIMap

Organization Active NPI

Tadros Medical, LLC

  • Primary Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1073069522
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
R7P58 Issued in MO
Legal business name
TADROS MEDICAL, LLC
Practice address
9701 Landmark Parkway Dr
Suite 110
Saint Louis, MO 63127-1665
Phone
(314) 270-4247
Fax
(314) 270-4248
NPI assigned
Aug 25, 2016
Last updated
Nov 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Dr. Charles H Tadros, M.D.NPI 1982663605
Title
Physician/Owner
Phone
(314) 270-4247

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X R7P58 MO Primary

Addresses

Primary practice location

9701 Landmark Parkway Dr
Suite 110
Saint Louis, MO 63127-1665

Mailing address

9701 Landmark Parkway Dr
Suite 110
Saint Louis, MO 63127-1665
Phone (314) 270-4247

Other identifiers 1

IdentifierTypeStateIssuer
1982663605OtherMONPI PERSONAL

National Provider Directory

National Provider Directory

Locations

9701 Landmark Parkway Dr
Ste 110
Saint Louis, MO 63127
Phone (314) 270-4247

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1073069522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9701 LANDMARK PARKWAY DR",
            "address_2": "SUITE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271665",
            "telephone_number": "314-270-4247",
            "fax_number": "866-542-7823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9701 LANDMARK PARKWAY DR",
            "address_2": "SUITE 110",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271665",
            "telephone_number": "314-270-4247",
            "fax_number": "314-270-4248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TADROS MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-25",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "TADROS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "314-270-4247",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": "R7P58",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI PERSONAL",
            "identifier": "1982663605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.