Individual provider Active NPI

Johanna D'Urso Taldone, M.D.

  • Family Medicine Physician
  • Palm Harbor, FL
National Provider Identifier
1164514162
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME0069759 Issued in FL
Practice address
2835 Alt 19
Palm Harbor, FL 34683-1926
Phone
(727) 786-7906
Fax
(727) 784-7888
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME0069759 FL Primary

Addresses

Primary practice location

2835 Alt 19
Palm Harbor, FL 34683-1926

Mailing address

2835 Alt 19
Palm Harbor, FL 34683-1926
Phone (727) 786-7906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0069759FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Medical Group Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164514162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2835 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "727-786-7906",
            "fax_number": "727-784-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2835 ALT 19",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346831926",
            "telephone_number": "727-786-7906",
            "fax_number": "727-784-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALDONE",
        "first_name": "JOHANNA",
        "middle_name": "D'URSO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0069759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.