ROBERT JORDAN HUDSON SR. (NPI# 1104151364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104151364 |
| Entity Type | Individual |
| Full Name | ROBERT JORDAN HUDSON SR. |
| Credential | MD |
| Practice Address |
4444 E 41st St Tulsa OK 74135-2527 |
| Mailing Address |
Po Box 268838 Oklahoma City OK 73126-8838 |
| Practice Telephone | 9186194400 |
| Practice Fax Number | 9186603631 |
| Mailing Telephone | 9186603632 |
| Mailing Fax Number | 9186603631 |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 9204 | OK | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
9204 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962933739 | Robert Hudson | Occupational Therapist | 3463 Northridge Dr, Clearwater, FL 33761 | 2017-03-23 |
| 1700173259 | Robert Brent Hudson | Technician, Other | 1901-50th St., Lubbock, TX 79412-2716 | 2011-07-06 |
| 1174641104 | Robert James Hudson | Dentist | 1609 Pitt Street Rte. 30 -east, Jennerstown Medical Center, Jennerstown, PA 15547-0210 | 2007-03-27 |
| 1295896439 | Robert Alan Hudson | Chiropractor | 2304 Jersey Ridge Rd, Ste 4, Davenport, IA 52803-2378 | 2006-12-12 |
| 1740358761 | Robert M Hudson | Dentist | 2325 West White Oaks Drive, Suite B, Springfield, IL 62704 | 2006-11-30 |
| 1821102740 | Robert Clint Hudson | Physical Therapist | 103 Medical Park, Hattiesburg, MS 39401-9042 | 2006-08-18 |
| 1740221878 | Robert W Hudson | Family Medicine | 1856 Memorial Dr, Clarksville, TN 37043-4603 | 2006-06-09 |
| 1215432869 | Robert Earl Hudson | Social Worker | 2582 W Broad St, Columbus, OH 43204-3326 | 2018-03-27 |
| 1841739109 | Robert Earl Hudson Jr. | Assistant Behavior Analyst | 2715 Mackey Pl Ste 135, Shreveport, LA 71118-2528 | 2017-02-20 |
| 1386036978 | Robert Hudson Jr. | Pharmacist | 3491 N Bend Rd, Cincinnati, OH 45239-7624 | 2015-02-19 |
| Street Address |
4444 E 41ST ST |
| City | TULSA |
| State | OK |
| Zip Code | 74135-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629061213 | John William Ervin | Obstetrics & Gynecology | 4444 E 41st St, Tulsa, OK 74135-2527 | 2005-08-30 |
| 1891395000 | Gabrielle Fleming | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-10-27 |
| 1033717210 | Rachel Nichols | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-10-11 |
| 1336756089 | Hussan Gill | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-27 |
| 1508473430 | Elizabeth Wells | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-24 |
| 1649887753 | Savanna Rae Smith | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-23 |
| 1699381939 | Christopher John Jarrett | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-22 |
| 1275149635 | Anne Marie Nguyen | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-21 |
| 1114532652 | Katlynn Hendrix | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-11 |
| 1720693252 | Miri Elizabeth Wolfe | Student in an Organized Health Care Education/Training Program | 4444 E 41st St, Tulsa, OK 74135-2527 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437761590 | Dr. Whitney M. Ellsworth, Dpt, Pllc | Physical Therapist | 4185 S Harvard Ave, Suite E-1, Tulsa, OK 74135 | 2020-08-20 |
| 1942839089 | Kimberly Renee Gillens | Student in an Organized Health Care Education/Training Program | 4502 E 41st Street Obgyn Department, Tulsa, OK 74135 | 2020-04-01 |
| 1528525524 | Everest Pain Management | Clinic/Center | 4134 S Harvard Ave Suite B1, Tulsa, OK 74135 | 2019-02-26 |
| 1326524216 | Shelley Deeann Anderson | Technician | 7359 S 68th, Tulsa, OK 74135 | 2018-07-14 |
| 1811489065 | Taylor Diane Spears | Behavioral Analyst | 4835 S Fulton Ave Suite 104, Tulsa, OK 74135 | 2018-06-04 |
| 1225547821 | Heather Nicole Freed | Counselor | 4363 S Harvard Ave, Tulsa, OK 74135 | 2017-09-26 |
| 1306363924 | Danielle Walker | Case Manager/Care Coordinator | 3244 S Lakewood Ave Apt 4e, Tulsa, OK 74135 | 2017-08-24 |
| 1346766078 | Angels Place | Day Training, Developmentally Disabled Services | 3919 S. Oswego Avenue, Tulsa, OK 74135 | 2017-08-15 |
| 1659800019 | Welena-phay Kamamma Boren | Counselor | 4636 S Harvard Avenue, Tulsa, OK 74135 | 2017-06-08 |
| 1346774197 | Brandie Herren | Registered Nurse | 6333 E Skelly Drive, Tulsa, OK 74135 | 2017-04-19 |
| Find all providers in zip 74135 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033562202 | Behavioral Pediatrics of Tulsa Plc | Pediatrics | 5110 S Yale Ave, Suite 103, Tulsa, OK 74135-7401 | 2016-07-22 |
| 1235403023 | Newborn Specialists of Tulsa, PC | Pediatrics | 1805 E 15th St, Tulsa, OK 74104-4610 | 2012-02-27 |
| 1639282270 | Jane Scott | Pediatrics | 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 | 2006-08-17 |
| 1912010570 | Cynthia J. Fuller | Pediatrics | 4520 S Harvard Ave, Suite 200, Tulsa, OK 74135-2925 | 2006-08-17 |
| 1467478800 | Laura Kathleen Taylor | Pediatrics | 591 E 36th St N, Tulsa, OK 74106-1812 | 2006-07-15 |
| 1194750240 | James Coldwell | Pediatrics | 1145 S Utica Ave, Suite 262, Tulsa, OK 74104-4000 | 2006-07-11 |
| 1457389454 | Deborah Noble Baird | Pediatrics | 1145 S Utica Ave, Suite 262, Tulsa, OK 74104-4000 | 2006-06-29 |
| 1134163942 | Board of Regents of The University of Oklahoma Ou Physicians Tulsa | Pediatrics | 4444 E 41st Street 3rd Floor Ste B, Schusterman Center Clinic, Tulsa, OK 74135-2527 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336796242 | Foundations Therapy, Pllc | Pediatrics | 3905 N Harrison St, Shawnee, OK 74804-1426 | 2019-08-25 |
| 1285797910 | Willienell H Bryant-pitts | Pediatrics | 216 N Murray St, Helena, OK 73741-1017 | 2006-12-17 |
| 1336194307 | Laurie Ann Kukas | Pediatrics | 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6412 | 2006-05-24 |
| 1639783012 | Relfections Behavioral Health | Pediatrics | 502 W Atlanta St, Broken Arrow, OK 74012-7004 | 2020-09-03 |
| 1083231724 | Broken Arrow Pediatric Behavioral Health LLC | Pediatrics | 502 W Atlanta St, Broken Arrow, OK 74012-7004 | 2020-06-29 |
| 1154695278 | Sanford World Clinics | Pediatrics | 2502 W Elk Ave, Duncan, OK 73533-1562 | 2012-03-07 |
| 1154632610 | Laurie A. Kukas, D. O. Faap | Pediatrics | 1024 Nw 47th St, Ste A, Oklahoma City, OK 73118-6400 | 2010-06-29 |
| 1760544068 | Daryl Leroy Scurry | Pediatrics | 1515 Ne Lawrie Tatum Rd, Lawton Indian Hospital, Lawton, OK 73507-3002 | 2006-12-14 |
| 1962470211 | Mark L Wolraich | Pediatrics | 1100 Ne 13th St, Csc, Oklahoma City, OK 73117-1039 | 2006-03-12 |
| 1740258052 | Loy Donna Markland | Pediatrics | 1100 Ne 13th St, Csc, Oklahoma City, OK 73117-1039 | 2006-03-11 |
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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.