Maria U Tedtaotao MD PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MARIA U TEDTAOTAO MD PA

Doing business as

Zoe Family Care Clinic

Practice address

1303 Mosley Dr
Lynn Haven, FL 32444-5625

Phone

(850) 271-5996

Fax

(850) 271-4088

NPI assigned

Oct 31, 2008

Last updated

Apr 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cindy Taylor

Title

Business Manager

Phone

(850) 271-5996

Specialties & licenses 2

Addresses

Other names 1

• Zoe Family Care Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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.

• April L Page, APRN FNP-BC

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1821720004
  Medicare reassignment NPD
• Amanda J Reitmeyer

  • Acute Care Nurse Practitioner
  • Panama City, FL
  • NPI 1457985640
  Medicare reassignment NPD
• Maria Uncangco Tedtaotao, M.D.

  • Family Medicine Physician
  • Lynn Haven, FL
  • NPI 1437264546
  Medicare reassignment NPD
• Caroline Windham, APRN

  • Family Nurse Practitioner
  • Panama City, FL
  • NPI 1407685423
  Medicare reassignment NPD
• Jaclyn Marie Pennington Ortega, PA-C

  • Physician Assistant
  • Panama City, FL
  • NPI 1316216492
  Medicare reassignment

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

{
    "created_epoch": "1225411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651104000000",
    "number": "1083867295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MOSLEY DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445625",
            "telephone_number": "850-271-5996",
            "fax_number": "850-271-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MOSLEY DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445625",
            "telephone_number": "850-271-5996",
            "fax_number": "850-271-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA U TEDTAOTAO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-31",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "850-271-5996",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "FL",
            "license": "ME72254",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zoe Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Zoe Family Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lynn Haven Surgical Center Inc
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• Amer R Malik, M.D.
• Carl E Mantecon Sr., RPH
• Marcia Pell Cde RDN LDN LLC
• Mark M. Williams, M.D., P.a.
• Jeannie Guerelle Marquis, LMT
• Tia Tajuana Martin
• Irina Mayberry, APRN
• MDL Health, PLLC

• Family Medicine Physician in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.