Robert P Tardif, DO

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

1308 Issued in ME

Practice address

330 Sabattus Street
Lewiston, ME 04240

Phone

(207) 777-4300

Fax

(207) 755-3021

NPI assigned

Jul 10, 2006

Last updated

Nov 30, 2020By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1851325310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HILLVIEW LN",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042401705",
            "telephone_number": "207-754-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 SABATTUS STREET",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "04240",
            "telephone_number": "207-777-4300",
            "fax_number": "207-755-3021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "33 Hillview Ln",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042401705",
            "country_code": "US",
            "telephone_number": "207-754-1887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TARDIF",
        "first_name": "ROBERT",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "ME",
            "license": "1308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265590099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "MM491901",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Szczesniak
• Jessica Marie Talbot, CADC
• Sherri Talbot, CADC
• Gavin Tyler Tanis, MS, LAT, ATC
• Danielle Lee Tapley, CERTIFIED THERAPEUTI
• Sara Carrie Tarolli, M.D.
• Tamlyn Marisa Tarzia, MD
• Catharine Gail Taylor, PTA
• Isabella Courtney Taylor, DO
• Jason Tebbets

• Obstetrics & Gynecology Physician in Lewiston, ME
• Providers in Lewiston, ME by specialty
• Obstetrics & Gynecology Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; 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.