Mary Cabib Tawadros, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

04-16437 Issued in KS

Practice address

5911 Longleaf Dr.
Lawrence, KS 66049

Phone

(785) 312-7467

NPI assigned

Jan 30, 2015

Last updated

Jan 30, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1740670603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5911 LONGLEAF DR.,",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5911 LONGLEAF DR.",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "66049",
            "telephone_number": "785-312-7467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAWADROS",
        "first_name": "MARY",
        "middle_name": "CABIB",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-16437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Tapang, APRN
• Tate a. Janssen, D.C., P.a. (Janssen Chiropractic Clinic)
• Andrew Ryan Tate, PHARM.D.
• Chad R Tate, M.D.
• Rachel Darlene Tate
• Erin Abbott Taylor, L.M.S.W.
• Harold Ian Taylor, MD
• Loren Taylor, LMFT
• Marissa Pearl Taylor, PHARMD
• Mark Jackson Taylor, DPM

• Family Medicine Physician in Lawrence, KS
• Providers in Lawrence, KS by specialty
• Family Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2015; 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.