Individual provider Active NPI

Judith Martin Cadore, M.D.

  • Family Medicine Physician
  • Deer Park, TX
National Provider Identifier
1972722064
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5553 Issued in TX
Practice address
125 E 8TH St
Deer Park, TX 77536-2753
Phone
(281) 930-8555
Fax
(281) 930-9870
NPI assigned
Apr 25, 2007
Last updated
Nov 28, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J5553 TX Primary

Addresses

Primary practice location

125 E 8TH St
Deer Park, TX 77536-2753

Mailing address

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001-4648
Phone (972) 720-7820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090421000049 TX Practitioner - Family Practice 9638226194 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J5553TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Dec 31, 2016 Accepting new patients
American Current Care, P.a. Current Accepting new patients
American Current Care P.a. CurrentSince Dec 31, 2016 Accepting new patients
West Wharton County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
West Wharton County Hospital District Past Accepting new patients
San Jacinto Family Practice Education Foundation Family Medicine Past Accepting new patients
Texas Gulf Coast Medical System, Inc Family Medicine Past Accepting new patients

Locations

15810 Midway Rd
Addison, TX 75001
Phone (972) 458-8111

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

4025 Spid Dr
Corpus Christi, TX 78411
Phone (361) 852-8255

125 E 8th St
Deer Park, TX 77536
Phone (281) 930-8555

1002 Abc Ave
Ste 600
Freeport, TX 77541
Phone (979) 233-6571

12345 Katy Fwy
Houston, TX 77079
Phone (281) 679-5600

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1972722064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5080 SPECTRUM DR",
            "address_2": "STE 1200W",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750014648",
            "telephone_number": "972-720-7820",
            "fax_number": "214-775-4502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 E 8TH ST",
            "city": "DEER PARK",
            "state": "TX",
            "postal_code": "775362753",
            "telephone_number": "281-930-8555",
            "fax_number": "281-930-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADORE",
        "first_name": "JUDITH",
        "middle_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deer Park, TX

Sources for this page

Verify at the official NPI Registry.