TARA LYN CUDA, D.O., P.C.


Address: 2230 S Broad St, Philadelphia, PA 19145-3950
Phone: 2153343869

TARA LYN CUDA, D.O., P.C. (NPI# 1225278963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225278963
Entity Type Organization
Organization Name TARA LYN CUDA, D.O., P.C.
Practice Address 2230 S Broad St
Philadelphia
PA 19145-3950
Practice Telephone 2153343869
Practice Fax Number 2157553300
Mailing Telephone 2153343869
Mailing Fax Number 2157553300
Enumeration Date 2009-02-20
Last Update Date 2009-02-20
Authorized Official Name DR. TARA LYN CUDA (PRESIDENT)
Authorized Official Telephone 2153343869
Authorized Official Credential D.O.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RS0010X Internal Medicine
Specialization: Sports Medicine
Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
PA HBS 2038856 01

Office Location

Street Address 2230 S BROAD ST
City PHILADELPHIA
State PA
Zip Code 19145-3950

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386110021 Megan Anne Drozdowski Nurse Practitioner 2230 S Broad St, Philadelphia, PA 19145-3950 2018-10-21
1316902885 Pa Rehab Associates PC Physical Medicine & Rehabilitation 2230 S Broad St, Philadelphia, PA 19145-3950 2006-04-19

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1528333846 Gina Marie Doyle Registered Nurse 1930 S. Broad Street, Philadelphia, PA 19145 2012-03-20
1639446214 Thao T Tran Pharmacist 2014-24 South Broad St, Philadelphia, PA 19145 2011-11-25
1649573171 Phyllis Yang Internal Medicine 1700 S Broad St, Unit 201, Philadelphia, PA 19145 2010-12-05
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Taxonomy Information

Taxonomy Code 207RS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sports Medicine

Taxonomy Definition

An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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NPI Name Taxonomy Address Enumeration
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1679873970 Maenpaa Sports Medicine LLC Internal Medicine 829 Spruce St, Suite308, Philadelphia, PA 19107-5752 2010-11-02
1306987318 David M. Josephson Internal Medicine 3535 Market St, Suite 100, Philadelphia, PA 19104-3309 2007-02-11
1881754463 Neil P Sheth Internal Medicine 800 Spruce St, 1 Cathcart, Philadelphia, PA 19107-6130 2006-12-12

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1821473570 Drmc - Penn Highlands Internal Med Clearfield 93390 Internal Medicine 531c Hannah St, Clearfield, PA 16830-1209 2015-07-23
1073956397 Ravi Kiran Ved Internal Medicine 1307 Federal St Ste 2, Pittsburgh, PA 15212-4769 2013-04-17
1891036166 Tower Health Medical Group Internal Medicine 1350 Broadcasting Rd Ste 201, Wyomissing, PA 19610-3229 2013-03-11
1417219361 Orthopaedic Surgery and Sports Medicine Group, PC Internal Medicine 254 Lancaster Ave, Malvern, PA 19355-3087 2012-06-15
1184944167 Premier Orthopaedic and Sports Medicine Associates, Ltd Internal Medicine 1 Bartol Ave, Ste 100, Ridley Park, PA 19078-2214 2010-06-02
1992974679 Edward Anthony Gusick IIi Internal Medicine 1201 Grampian Blvd, Suite 2f, Williamsport, PA 17701-1965 2008-02-26
1649448218 Megan Marie Groh Miller Internal Medicine 9104 Babcock Blvd., Suite 2120, Pittsburgh, PA 15237 2008-02-15
1811186133 Matthew Ross Flanagan Internal Medicine 100 Medical Blvd, Canonsburg, PA 15317-9762 2007-10-23
1730129792 Joseph M Stellabotte Internal Medicine 1 Bartol Ave, Suite 100, Ridley Park, PA 19078-2214 2006-06-07
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Competitor

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City PHILADELPHIA
Zip Code 19145

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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