Michael Tedford MD LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

203269 Issued in NY

Legal business name

MICHAEL TEDFORD MD LLC

Practice address

254 Route 17K
Ste 204
Newburgh, NY 12550

Phone

(845) 561-4466

Fax

(845) 561-7190

NPI assigned

Dec 4, 2007

Last updated

Aug 28, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael George Tedford, MDNPI 1750453742

Title

Owner

Phone

(845) 561-4466

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/1418/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael G Tedford I, M.D.

  • Ophthalmology Physician
  • Newburgh, NY
  • NPI 1750453742
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535414400000",
    "number": "1689856395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 ROUTE 17K STE 204",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125508300",
            "telephone_number": "845-561-4466",
            "fax_number": "845-561-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 ROUTE 17K",
            "address_2": "STE 204",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "12550",
            "telephone_number": "845-561-4466",
            "fax_number": "845-561-7190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL TEDFORD MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2018-08-28",
        "status": "A",
        "authorized_official_last_name": "TEDFORD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-561-4466",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "203269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01899169",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luminado Agonia Mercado, PT
• Richard Mercer Jr., CASAC-T 25590
• Nicole Merkovsky, LMSW
• Ryan Daniel Meshulam, M.D.
• Maria Messerschmitt
• MK Michalak, PA
• Michelle Wade
• Deirdre Mae Micker, N.P.
• Mid Hudson Interventional Pain Management
• Mid Hudson Physical Medicine & Rehabilitation PC (Mid Hudson Pain Managerment & P.T. PC)

• Ophthalmology Physician in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.