Active NPI
Tamara Scordo
- Student in an Organized Health Care Education/Training Program
- Sylvania, OH
National Provider Identifier
1356740872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 3115999
- Practice address
- 6527 Cornwall CT
Sylvania, OH 43560-3104 - Phone
- (734) 812-9756
- NPI assigned
- Aug 20, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 3115999 | OH | Primary |
Addresses
Primary practice location
6527 Cornwall CT
Sylvania, OH 43560-3104
Mailing address
6527 Cornwall CT
Sylvania, OH 43560-3104
Phone (734) 812-9756
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31159999 | Medicaid | OH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3115999 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408492800000",
"number": "1356740872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6527 CORNWALL CT",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435603104",
"telephone_number": "734-812-9756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6527 CORNWALL CT",
"city": "SYLVANIA",
"state": "OH",
"postal_code": "435603104",
"telephone_number": "734-812-9756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCORDO",
"first_name": "TAMARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-08-20",
"last_updated": "2014-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "3115999",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31159999",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylvania, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.