Organization Active NPI

Tara Lyn Cuda, D.O., P.C.

  • Sports Medicine (Internal Medicine) Physician
  • Philadelphia, PA
National Provider Identifier
1225278963
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
Legal business name
TARA LYN CUDA, D.O., P.C.
Practice address
2230 S Broad St
Philadelphia, PA 19145-3950
Phone
(215) 334-3869
Fax
(215) 755-3300
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Dr. Tara Lyn Cuda, D.O.NPI 1770532293
Title
President
Phone
(215) 334-3869

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RS0010X Primary

Addresses

Primary practice location

2230 S Broad St
Philadelphia, PA 19145-3950

Mailing address

2230 S Broad St
Philadelphia, PA 19145-3950
Phone (215) 334-3869

Other identifiers 1

IdentifierTypeStateIssuer
2038856OtherPAHBS

National Provider Directory

National Provider Directory
Tax ID family
Tara Lyn Cuda DO2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1225278963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453950",
            "telephone_number": "215-334-3869",
            "fax_number": "215-755-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191453950",
            "telephone_number": "215-334-3869",
            "fax_number": "215-755-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA LYN CUDA, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "CUDA",
        "authorized_official_first_name": "TARA",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-334-3869",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HBS",
            "identifier": "2038856",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 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.