WAYNE R. HUDSON DO INC NPI 1215152368

NPI Information

NPI: 1215152368
Provider Name: WAYNE R. HUDSON, DO, INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1134 HAGER ST
SAINT MARYS, OH
ZIP 45885
Phone: (419) 394-4044
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WAYNE R. HUDSON, DO, INC is a general practice in Saint Marys, OH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee WAYNE R. HUDSON, DO, INC NPI is 1215152368. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1134 HAGER ST
SAINT MARYS, OH
ZIP 45885-423
Phone: (419) 394-4044
Fax: (419) 394-1655

The provider's authorized official is Wayne Ross Hudson .
The authorized official title is President and has the following contact phone number (419) 394-4044.

The enumeration date for this NPI number is 4/16/2007 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208600000X	Surgery		6421	OHIO	No
2	208D00000X	General Practice		6421	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D33712	MEDICARE UPIN	OHIO
2	1467436527	OTHER	OHIO	NPI
3	9339151	MEDICARE PIN	OHIO
4	2002031	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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