Maria Uncangco Tedtaotao, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME72254 Issued in FL

Practice address

1303 Mosley Dr
Lynn Haven, FL 32444-5625

Phone

(850) 712-5996

Fax

(850) 271-4088

NPI assigned

Aug 20, 2006

Last updated

Aug 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

University of Hawaii John a. Burns School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Panama City, FL, CCN 108380
• HCA Florida Gulf Coast Hospital Hospital, Panama City, FL, CCN 100242
• Ascension Sacred Heart Bay Hospital, Panama City, FL, CCN 100026

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mariatedtaotaomd@zoefamilycare.ssdirect.aprima.com

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.

• Maria U Tedtaotao MD PA

  dba Zoe Family Care Clinic

  • Family Medicine Physician
  • Lynn Haven, FL
  • NPI 1083867295
  Medicare reassignment NPD
• Asthma and Allergy Clinic, P.a.

  • Allergy & Immunology (Internal Medicine) Physician
  • Panama City, FL
  • NPI 1093812612
  NPD (past)

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

• Bay County Health System, LLC

  dba Ascension Sacred Heart Bay

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1720078041
  Care Compare affiliation
• Bay Hospital, Inc

  dba HCA Florida Gulf Coast Hospital

  • General Acute Care Hospital
  • Panama City, FL
  • NPI 1699721589
  Care Compare affiliation
• Caresouth HHA Holdings of Panama City, LLC

  dba Enhabit Home Health

  • Home Health Agency
  • Panama City, FL
  • NPI 1518916659
  Care Compare affiliation

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597795200000",
    "number": "1437264546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 MOSLEY DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445625",
            "telephone_number": "850-271-5996",
            "fax_number": "850-271-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 MOSLEY DR",
            "city": "LYNN HAVEN",
            "state": "FL",
            "postal_code": "324445625",
            "telephone_number": "850-712-5996",
            "fax_number": "850-271-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDTAOTAO",
        "first_name": "MARIA",
        "middle_name": "UNCANGCO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME72254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258053500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Kirk Surface
• Karen Swoboda, M.S, B.C.B.A
• Lauren Sytsma, SLP
• Jagjit Singh Tandon, MD
• Gregory Alan Taylor, D.C.
• Aislynn Thatcher
• The Family Clinic LLC
• Amber Lynn Thomas, FNP-C
• Suzannah Thompson
• Total Renal Care, Inc. (Lynn Haven Dialysis)

• Family Medicine Physician in Lynn Haven, FL
• Providers in Lynn Haven, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.