Philip Todaro, D.O., P.C.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

015330 Issued in GA

Legal business name

PHILIP TODARO, D.O., P.C.

Practice address

1516 E Evans St
Bainbridge, GA 39819-4363

Phone

(229) 246-4888

Fax

(229) 246-4881

NPI assigned

Feb 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Philip Todaro, D.O.

Title

President/Physician

Phone

(229) 246-4888

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1202169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212364800000",
    "number": "1700064482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E EVANS ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194363",
            "telephone_number": "229-246-4888",
            "fax_number": "229-246-4881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E EVANS ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194363",
            "telephone_number": "229-246-4888",
            "fax_number": "229-246-4881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILIP TODARO, D.O., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-05",
        "last_updated": "2008-06-02",
        "status": "A",
        "authorized_official_last_name": "TODARO",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICIAN",
        "authorized_official_telephone_number": "229-246-4888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "015330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000024527A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1659384816",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raven Parris, RN
• Henisha H Patel
• Shweta Anand Patel, DPT
• Anna Reynolds Payne
• Pharma St RX LLC
• Jerry David Phillips Jr., M.D.
• Kelly Phillips, SLP
• Port City Family Dental Associates
• Port City Family Medicine, L.L.C.
• Port City Medical Associates Inc

• General Practice Physician in Bainbridge, GA
• Providers in Bainbridge, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.