DR. ZACHARY LEE HUDSON (NPI# 1114269420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114269420 |
| Entity Type | Individual |
| Full Name | DR. ZACHARY LEE HUDSON |
| Credential | DO |
| Practice Address |
1701 Lacey St Cape Girardeau MO 63701-5230 |
| Mailing Address |
630 Deevers Xing Cape Girardeau MO 63701-8000 |
| Practice Telephone | 5733344822 |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 2017007794 | MO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5100 W Broad St, Columbus, OH 432281607 | 6145441000 | 6145441751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356736664 | Zachary Hudson | Psychiatry & Neurology | 2995 Woodside Rd Ste 300, Woodside, CA 94062-2447 | 2015-04-02 |
| 1922626209 | Zachary Hudson | Registered Nurse | 5982 Rhodes Rd, Kent, OH 44240-8100 | 2020-07-13 |
| 1063999720 | Zachary Mitchell Hudson | Physician Assistant | 1 High St, Wakefield, RI 02879-1422 | 2018-07-25 |
| Street Address |
1701 LACEY ST |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-5230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376234 | Robert Elvie Perry | Internal Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2005-06-20 |
| 1457951279 | William Lee Harris | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-10-30 |
| 1154940344 | Jacob Scott Wren | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-04-08 |
| 1376174227 | Ashtin Paige Cohn | Nurse Practitioner | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2020-01-30 |
| 1033757992 | Matthew Nanney | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-11 |
| 1689211252 | Southeast Health | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-12-03 |
| 1184269771 | Amanda M Hill | Registered Nurse | 1701 Lacey St, Medtele, Cape Girardeau, MO 63701 | 2019-11-07 |
| 1205480795 | Brittney Faith Sanford | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-08-01 |
| 1104383017 | Jamie Kristen Rich | Nurse Anesthetist, Certified Registered | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2019-02-27 |
| 1417427584 | Michele Cox | Registered Nurse | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2018-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528198942 | Saint Francis Medical Center | Emergency Medicine | 211 St Francid Dr, Cape Girardeau, MO 63703 | 2007-03-06 |
| 1285730473 | Judee Lynn Bland | Emergency Medicine | 1119 Hilldale Cir, Cape Girardeau, MO 63701-3517 | 2006-09-15 |
| 1386604361 | Laura Marble | Emergency Medicine | 211 St. Francis Dr, Cape Girardeau, MO 63703-8399 | 2006-03-24 |
| 1194785394 | Lauren Blackwelder | Emergency Medicine | 211 St Francis Dr, Cape Girardeau, MO 63703-8399 | 2006-03-23 |
| 1902875701 | Pamela Christine Miller | Emergency Medicine | 211 Saint Francis Drive, Cape Girardeau, MO 63703 | 2006-03-15 |
| 1659766731 | Jason Dean Hurt | Emergency Medicine | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2015-04-05 |
| 1760724439 | Daren Michael Mahoney | Emergency Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2013-03-20 |
| 1578826913 | Cape Woods Emergency Physicians LLC | Emergency Medicine | 1701 Lacey St, Cape Girardeau, MO 63701-5230 | 2012-06-20 |
| 1679739866 | Sara Elizabeth Nowicki | Emergency Medicine | 211 Saint Francis Dr, Cape Girardeau, MO 63703-5049 | 2008-08-06 |
| 1063699163 | Brian William Keenan | Emergency Medicine | 1701 Lacey St, Emergency Department, Cape Girardeau, MO 63701-5230 | 2008-01-30 |
| Find all providers in CAPE GIRARDEAU | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.