J. Todd Carruthers, MD, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K5849 Issued in TX

Legal business name

J. TODD CARRUTHERS, MD, PA

Practice address

1120 Raintree Circle
Suite 210
Allen, TX 75013

Phone

(972) 852-1534

Fax

(972) 982-7459

NPI assigned

Oct 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Todd Carruthers, M.D.NPI 1386645562

Title

President

Phone

(972) 852-1534

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

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

• Jeffrey Todd Carruthers, M.D.

  • Family Medicine Physician
  • Allen, TX
  • NPI 1386645562
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533686400000",
    "number": "1306034202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 RAINTREE CIRCLE",
            "address_2": "SUITE 210",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "972-852-1534",
            "fax_number": "972-982-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 RAINTREE CIRCLE",
            "address_2": "SUITE 210",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "75013",
            "telephone_number": "972-852-1534",
            "fax_number": "972-982-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. TODD CARRUTHERS, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-05",
        "last_updated": "2018-08-08",
        "status": "A",
        "authorized_official_last_name": "CARRUTHERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-852-1534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K5849",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0081NZ",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Allen, TX
• Providers in Allen, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2018; 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.