NPIMap

Organization Active NPI

Caroline R Tadros MD, Profession Corporation

  • Gastroenterology Physician
  • Ogden, UT
National Provider Identifier
1730496472
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
7359451-1205 Issued in UT
Legal business name
CAROLINE R TADROS MD, PROFESSION CORPORATION
Practice address
4403 Harrison Blvd
Suite #2855
Ogden, UT 84403-3271
Phone
(801) 387-2550
Fax
(801) 387-2564
NPI assigned
Sep 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Stacy S Storey, CPC
Title
Office Manager
Phone
(801) 387-2550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RG0100X 7359451-1205 UT Primary

Addresses

Primary practice location

4403 Harrison Blvd
Suite #2855
Ogden, UT 84403-3271

Mailing address

4403 Harrison Blvd
Suite #2855
Ogden, UT 84403-3271
Phone (801) 387-2550

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1730496472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "SUITE #2855",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-2550",
            "fax_number": "801-387-2564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4403 HARRISON BLVD",
            "address_2": "SUITE #2855",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844033271",
            "telephone_number": "801-387-2550",
            "fax_number": "801-387-2564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAROLINE R TADROS MD, PROFESSION CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "STACY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "801-387-2550",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "UT",
            "license": "7359451-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; 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.