Dr. Medardo Tabotabo , MD
Ophthalmology • Middlesboro, KY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Medardo Tabotabo has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Medardo Tabotabo, MD was a registered Ophthalmology practicing in Middlesboro, KY. Throughout an active medical career spanning 18 years, Dr. Tabotabo provided care at the practice location at US 25E HWY 441 until profile deactivation on 2024-02-21.
Practice Location & Contact Primary Location
Us 25e Hwy 441
Middlesboro, KY 40965
Specialty Benchmarks & Practice Insights
Comparative analytics for Ophthalmology in Middlesboro, KY
Practicing in Middlesboro, KY (265 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 207W00000X
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Radiology - Diagnostic Radiology
MDPSCINC
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Radiology - Diagnostic Radiology
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on February 21, 2024
NPI status registered as active in NPPES database
Registered at US 25E HWY 441, MIDDLESBORO, KY 40965 (Tel: 6062423937)
Registered at PO BOX 360, GRAYS KNOB, KY 408290360 (Tel: 6062481320)
Recorded as MEDARDO TABOTABO, M.D.
Ophthalmology (License #24202 in KY)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 360
Grays Knob, KY 408290360
Phone: 6062481320
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