Te Enoch MD LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

22081 Issued in FL

Legal business name

TE ENOCH MD LLC

Practice address

1616 Riggins Rd
Tallahassee, FL 32308-5316

Phone

(850) 656-8944

Fax

(850) 878-1824

NPI assigned

May 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Tommy Errice Enoch, M.D.

Title

Manager

Phone

(850) 656-8944

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Tommy E. Enoch, M.D. Former legal business name

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1295783504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1616 RIGGINS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085316",
            "telephone_number": "850-656-8944",
            "fax_number": "850-878-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1616 RIGGINS RD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323085316",
            "telephone_number": "850-656-8944",
            "fax_number": "850-878-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TE ENOCH MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "ENOCH",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "ERRICE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "850-656-8944",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "22081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "78078",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tommy E. Enoch, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Scott Bryan Taylor, D.O.
• Suzan Thompson Taylor, MSW
• Suzee A. Taylor, CNM, A.R.N.P.
• Trisha Taylor, APRN-CNP
• Kristina Tchourioukanova, MSW
• Victoria Tan Te, MD
• Susan A Teasley
• Alvianna Janae Teate
• Tech Care X-Ray,LLC
• Tech Talk SLP Services, LLC

• Primary Care Clinic/Center in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.