Active NPI
Stela Tudoran MD PA
- Otolaryngology Physician
- Boca Raton, FL
National Provider Identifier
1508801739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- ME 26392
- Legal business name
- STELA TUDORAN MD PA
- Practice address
- 1000 NW 9TH CT
Suite 203
Boca Raton, FL 33486-2268 - Phone
- (561) 395-9302
- Fax
- (561) 395-5568
- NPI assigned
- Jun 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stela Tudoran, M.D.
- Title
- Owner
- Phone
- (561) 395-9302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ME 26392 | FL | Primary |
Addresses
Primary practice location
1000 NW 9TH CT
Suite 203
Boca Raton, FL 33486-2268
Mailing address
1000 NW 9TH CT
Suite 203
Boca Raton, FL 33486-2268
Phone (561) 395-9302
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0092041 | Other | FL | GHI |
| 15279201 | Other | FL | CITRUS HEALTHCARE INSURAN |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Hematology & Oncology Physician
- Boca Raton, FL
- NPI 1639149420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206403200000",
"number": "1508801739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 NW 9TH CT",
"address_2": "SUITE 203",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862268",
"telephone_number": "561-395-9302",
"fax_number": "561-395-5568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 NW 9TH CT",
"address_2": "SUITE 203",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862268",
"telephone_number": "561-395-9302",
"fax_number": "561-395-5568"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STELA TUDORAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-19",
"last_updated": "2008-03-25",
"status": "A",
"authorized_official_last_name": "TUDORAN",
"authorized_official_first_name": "STELA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "561-395-9302",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": "FL",
"license": "ME 26392",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "0092041",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS HEALTHCARE INSURAN",
"identifier": "15279201",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.