Nicole M Todar, DO

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

OS7509 Issued in FL

Practice address

995 Mar Walt Dr
Fort Walton Beach, FL 32547-6758

Phone

(850) 863-7887

Fax

(850) 863-0863

NPI assigned

Aug 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• South Florida Gastroenterology Associates PA

  • Gastroenterology Physician
  • Lake Worth, FL
  • NPI 1194758417
  NPD (past)

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380240000000",
    "number": "1700994795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001 DEPT 991",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850991",
            "telephone_number": "800-248-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476758",
            "telephone_number": "850-863-7887",
            "fax_number": "850-863-0863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODAR",
        "first_name": "NICOLE",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-29",
        "last_updated": "2013-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "OS7509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2683863100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Tilden
• Timothy M Bradley,MD SC
• Cynthia Leigh Tisdale, PTA
• Titan Hospitalist Group LLC
• TMS of Emerald Coast LLC
• Terri O'Geary Todd, LMHC
• Hazel Tomita
• Anna Katharina Tomlinson, RBT
• Naomi Sophie Tomlinson, RBT
• Ana Gabriela Tompkins

• Pain Medicine (Anesthesiology) Physician in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Pain Medicine (Anesthesiology) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.