DR. TOMASZ SEBASTIAN GREGORY FUDALEWSKI (NPI# 1003336777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003336777 |
| Entity Type | Individual |
| Full Name | DR. TOMASZ SEBASTIAN GREGORY FUDALEWSKI |
| Credential | MD |
| Practice Address |
2400 S Ave A Yuma AZ 85364 |
| Mailing Address |
2400 S Avenue A Yuma AZ 85364-7127 |
| Practice Telephone | (928) 336-1290 |
| Mailing Telephone | 9283361290 |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2017-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1908R76442 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2400 S AVE A |
| City | YUMA |
| State | AZ |
| Zip Code | 85364 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639175698 | Gary L Berg | Anesthesiology | 2400 S Ave A, Yuma, AZ 85364-7127 | 2005-06-23 |
| 1245876499 | Jared Ignacio Rodriguez | Nurse Practitioner | 2400 S Ave A, Emergency Department, Yuma, AZ 85364 | 2019-11-22 |
| 1689976789 | Donna K. Andreas | Physician Assistant | 2400 S Ave A, Yuma, AZ 85364-7127 | 2010-11-22 |
| 1023326352 | Yrmc Professional Services Group, LLC | Internal Medicine | 2400 S Ave A, Yuma, AZ 85364-7127 | 2010-09-21 |
| 1427379478 | Yuma Physicians Hospital Group | Hospitalist | 2400 S Ave A, Yuma, AZ 85364-7127 | 2010-06-14 |
| 1730402991 | Sarah Killeen Crowell | Physical Therapist | 2400 S Ave A, Yuma, AZ 85364-7127 | 2010-03-02 |
| 1578796314 | Yuma Regional Medical Center | Orthopaedic Surgery | 2400 S Ave A, Yuma, AZ 85364-7127 | 2009-08-27 |
| 1578791273 | Tiffany Lauren Schmidt | Dietitian, Registered | 2400 S Ave A, Yuma, AZ 85364-7127 | 2009-07-01 |
| 1598993420 | Yuma Regional Medical Center | Orthopaedic Surgery | 2400 S Ave A, Yuma, AZ 85364-7127 | 2009-06-30 |
| 1215110028 | Yuma Regional Medical Center | Obstetrics & Gynecology | 2400 S Ave A, Yuma, AZ 85364-7127 | 2007-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093315939 | Smile Straight Orthodontics-yuma Pllc | Dentist | 2283 W 24th Street, Suite 120, Yuma, AZ 85364 | 2020-10-29 |
| 1013515204 | Jason John Lujan | Behavior Technician | 8361, S Apache Lane, Yuma, AZ 85364 | 2020-10-12 |
| 1417573742 | Shanti Auto Injury and Accident, Pllc | Clinic/Center | 1695 W 24h St, Suite C, Yuma, AZ 85364 | 2020-06-23 |
| 1144846999 | Surur Nader Sharif | Student in an Organized Health Care Education/Training Program | Yuma Regional Medical Center 2400 Avenue A, Yuma, AZ 85364 | 2020-06-17 |
| 1710533211 | Erika White | Specialist/Technologist | 3150 S Ave A, Yuma, AZ 85364 | 2019-08-12 |
| 1851950281 | Yuma Advanced Surgical Suites LLC | Clinic/Center | 1030 W 24th Street Suite H, Yuma, AZ 85364 | 2019-06-10 |
| 1558846139 | West Genevieve Home Care | Home Health | 1545 S 14th Ave, Com1, Yuma, AZ 85364 | 2018-09-28 |
| 1801375597 | Rebecca L Conover | Occupational Therapy Assistant | Yuma Elementary School District One, 450 S. 6th Street, Yuma, AZ 85364 | 2018-08-13 |
| 1861984791 | Thomas Francisco Burrell | Pharmacist | 1150 W 8th Street, Yuma, AZ 85364 | 2018-06-06 |
| 1356833834 | Elizabeth Schlenner | Nurse Practitioner | 2637 S 34th Ave, Yuma, AZ 85364 | 2018-05-31 |
| Find all providers in zip 85364 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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 is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487274247 | Kemell Health LLC | Family Medicine | 3970 W. 24th Street, Ste. 210, Yuma, AZ 85364-9263 | 2020-04-22 |
| 1548780273 | Jean-phillippe Gagnon | Family Medicine | 2451 S Avenue A Ste C101, Yuma, AZ 85364-7360 | 2017-06-23 |
| 1295115145 | Ndidi Ogechi Ivy Abara | Family Medicine | 2500 S 8th Ave, Yuma, AZ 85364-7108 | 2015-06-05 |
| 1952743726 | Bridgett B Allen | Family Medicine | 2270 S Ridgeview Dr Ste 303, Yuma, AZ 85364-8866 | 2013-07-22 |
| 1982045423 | Natalia Varenka Galarza Carrazco | Family Medicine | 2400 S. Ave A, Yuma, AZ 85364-7170 | 2013-07-12 |
| 1023459583 | Simi K. Dhillon | Family Medicine | Yuma Regional Medical Center, 2400s. Ave A, Yuma, AZ 85364-7170 | 2013-07-12 |
| 1881955169 | Jose Luis Vega IIi | Family Medicine | 675 S Avenue B, Yuma, AZ 85364-2749 | 2012-06-04 |
| 1487926002 | Harry Richard Tennant | Family Medicine | 1457 E. Palo Verde St, Yuma, AZ 85365-3532 | 2012-01-27 |
| 1386961563 | Humberto Rosado Medical, Pllc | Family Medicine | 1763 W. 24th St., Suite 102, Yuma, AZ 85364-6219 | 2010-04-27 |
| 1295968584 | Evangelista Medical Group, PC | Family Medicine | 2435 S Ave A Ste A, Yuma, AZ 85364-7176 | 2009-09-02 |
| Find all providers in YUMA | ||||
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| 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.