Deon Lynn Tadlock, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A73693 Issued in CA

Practice address

605 New York Ranch Rd
Jackson, CA 95642-9328

Phone

(209) 223-2030

Fax

(209) 223-2303

NPI assigned

Oct 5, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Indiana University School of Medicine, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Amador Family Physicians MedicalGroup PAC ID 0547239337, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• United Home Care of Northern California Home health agency, Jackson, CA, CCN 557014
• Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014
• Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108

Merit-based Incentive Payment System (MIPS)

Final score

22.01 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

73.36

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Amador Family Physicians Medical

  • Family Medicine Physician
  • Jackson, CA
  • NPI 1629164868
  Medicare reassignment Care Compare group NPD Authorized official
• Martin Weyrauch MD a Professional Corporation

  • Anesthesiology Physician
  • Sutter Creek, CA
  • NPI 1174895577
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sutter Valley Hospitals

  dba Sutter Amador Hospital

  • General Acute Care Hospital
  • Jackson, CA
  • NPI 1447494323
  Care Compare affiliation
• Sutter Valley Hospitals

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1811946734
  Care Compare affiliation
• United Homecare of Northern California, LC

  dba Amador Home Health

  • Home Health Agency
  • Jackson, CA
  • NPI 1174520027
  Care Compare affiliation

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376639583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956421749",
            "telephone_number": "209-223-2030",
            "fax_number": "209-223-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 NEW YORK RANCH RD",
            "city": "JACKSON",
            "state": "CA",
            "postal_code": "956429328",
            "telephone_number": "209-223-2030",
            "fax_number": "209-223-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TADLOCK",
        "first_name": "DEON",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sutter Amador Surgery Center LLC (Sutter Amador Surgery Center)
• Sutter Amador Tcu
• Sutter Valley Hospitals
• Sutter Valley Hospitals (Sutter Amador Hospital)
• Sutter Visiting Nurse Association and Hospice (Sutter Care at Home)
• Felicia Tang
• Cassidy F Tanis
• Lisa Ann Tarko
• Nina Tecson, DDS
• Eli Clark Thom, DPT

• Family Medicine Physician in Jackson, CA
• Providers in Jackson, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.