Tara J Caudill-Deaton in Madison Heights - Family Medicine

Tara J Caudill-Deaton - NPI 1154380129

Tara J Caudill-Deaton is a Family Medicine in Madison Heights, Michigan. Tara J Caudill-Deaton practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Tara J Caudill-Deaton is 1154380129. The last update date is 2008-03-06.

Tara J Caudill-Deaton's current location address is 1200 W 12 Mile Road, Madison Heights, Michigan. You can contact this provider via phone number 2485430600 and fax number 2485430562. The mailing address for Tara J Caudill-Deaton is 1200 W 12 Mile Road, Madison Heights, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Tara J Caudill-Deaton
Address 1200 W 12 Mile Road, Madison Heights, Michigan
Phone Number 2485430600
Fax Number 2485430562
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1154380129
Provider Enumeration Date 2006-03-20
Last Updated Date 2008-03-06

Provider Mailing Address Detail

Address 1200 W 12 Mile Road
City Madison Heights
State Michigan (MI)
Post Code 480716712
Phone Number 2485430600
Fax Number 2485430562

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 4301080294
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
080F370780 MI BCBSM
4815480 MI --

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FAQs about Tara J Caudill-Deaton

What is the Tara J Caudill-Deaton's 1154380129?

The Tara J Caudill-Deaton's NPI (National Provider Identifier) Number is 1154380129. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Tara J Caudill-Deaton?

The Tara J Caudill-Deaton is physically situated at 1200 W 12 Mile Road, in the city of Madison Heights, state of MI, with the postal code 480716712.

What is Tara J Caudill-Deaton's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Tara J Caudill-Deaton is Family Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Q00000X.

On what date did Tara J Caudill-Deaton receive its 1154380129 assignment from the Centers for Medicare & Medicaid Services?

The Tara J Caudill-Deaton was assigned its 1154380129 on 2006-03-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the Tara J Caudill-Deaton's details last updated?

The information pertaining to the Tara J Caudill-Deaton, including its address, specialty, and other details, was most recently updated on 2008-03-06.

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