Organization Active NPI

Stela Tudoran MD PA

  • Otolaryngology Physician
  • Boca Raton, FL
National Provider Identifier
1508801739
Registry record updated Mar 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME 26392 Issued in FL
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

Updated by the provider on Mar 25, 2008

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)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0092041OtherFLGHI
15279201OtherFLCITRUS HEALTHCARE INSURAN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.