Mioara Tudosie, MD, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MIOARA TUDOSIE, MD, LLC

Practice address

2600 Tuscarawas St W
Suite 640
Canton, OH 44708-4644

Phone

(330) 455-1511

Fax

(330) 455-5028

NPI assigned

Dec 7, 2015

Organization subpart

No

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

Authorized official

Name

Mioara TudosieNPI 1336255884

Title

Owner/President

Phone

(330) 455-1511

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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

• Mioara Tudosie, MD

  • Internal Medicine Physician
  • Canton, OH
  • NPI 1336255884
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1449446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585699200000",
    "number": "1649645300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4347 PORTAGE ST NW STE 102",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447207371",
            "telephone_number": "800-527-0336",
            "fax_number": "330-244-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 TUSCARAWAS ST W",
            "address_2": "SUITE 640",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447084644",
            "telephone_number": "330-455-1511",
            "fax_number": "330-455-5028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIOARA TUDOSIE, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-07",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A",
        "authorized_official_last_name": "TUDOSIE",
        "authorized_official_first_name": "MIOARA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "330-455-1511"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0152782",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shannon Lynn Minnich Young, CT
• Jonathan Minnich
• Denise Minocchi
• Joseph Michael Minor Jr.
• Nathaniel Steven Minter, DMD
• Melanie Ethell Mirande, MD
• Naseem Mirhaidari, CT
• Shayda Mirhaidari, M.D.
• Martin Phillip Mirise, NURSE AIDE
• Ksenia V Miroshnichenko

• Internal Medicine Physician in Canton, OH
• Providers in Canton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.