Individual provider Active NPI

Violet R Juodakis, MD

  • Family Medicine Physician
  • Tucson, AZ
National Provider Identifier
1407880651
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
11203 Issued in AZ
Practice address
1701 W Saint Marys Rd
Suite 103
Tucson, AZ 85745-2621
Phone
(520) 882-8037
Fax
(520) 622-7314
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 11203 AZ Primary

Addresses

Primary practice location

1701 W Saint Marys Rd
Suite 103
Tucson, AZ 85745-2621

Mailing address

1701 W Saint Marys Rd
Suite 103
Tucson, AZ 85745-2621
Phone (520) 882-8037

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)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
West Horizon Medical Center, PC Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIAABA

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1407880651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 W SAINT MARYS RD",
            "address_2": "SUITE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452621",
            "telephone_number": "520-882-8037",
            "fax_number": "520-622-7314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 W SAINT MARYS RD",
            "address_2": "SUITE 103",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452621",
            "telephone_number": "520-882-8037",
            "fax_number": "520-622-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUODAKIS",
        "first_name": "VIOLET",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "11203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2013; 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.