Organization Active NPI

Violet R.Juodakis,MD.,P.C.

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1164653184
Registry record updated Aug 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11203 Issued in AZ
Legal business name
VIOLET R.JUODAKIS,MD.,P.C.
Practice address
1701 W. St. Marys Rd.
Suite 103
Tucson, AZ 85745-2621
Phone
(520) 622-7675
NPI assigned
Aug 7, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2009

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

Authorized official

Name
Dr. Violet R Juodakis
Title
Owner
Phone
(520) 622-7675

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 11203 AZ Primary

Addresses

Primary practice location

1701 W. St. Marys Rd.
Suite 103
Tucson, AZ 85745-2621

Mailing address

1701 W. St. Marys Rd.
Suite 103
Tucson, AZ 85745-2621
Phone (520) 622-7675

National Provider Directory

National Provider Directory

Locations

1701 W Saint Marys Rd
Ste 103
Tucson, AZ 85745
Phone (520) 622-7675

NPI Registry JSON

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

{
    "created_epoch": "1249603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249603200000",
    "number": "1164653184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W. ST. MARYS RD.",
            "address_2": "SUITE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452621",
            "telephone_number": "520-622-7675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W. ST. MARYS RD.",
            "address_2": "SUITE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452621",
            "telephone_number": "520-622-7675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIOLET R.JUODAKIS,MD.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-07",
        "last_updated": "2009-08-07",
        "status": "A",
        "authorized_official_last_name": "JUODAKIS",
        "authorized_official_first_name": "VIOLET",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "520-622-7675",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "11203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2009; 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.