PAUL DANIEL JUDGE (NPI# 1184988685) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184988685 |
| Entity Type | Individual |
| Full Name | PAUL DANIEL JUDGE |
| Credential | MD |
| Practice Address |
9045 Us Highway 31 Ste 3 Berrien Springs MI 49103 |
| Mailing Address |
9045 Us Highway 31 Ste 3 Berrien Springs MI 49103-1804 |
| Practice Telephone | 2694719702 |
| Practice Fax Number | 2694719707 |
| Mailing Telephone | 2694719702 |
| Mailing Fax Number | 2694719707 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-01-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 4301116557 | MI | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 6823 | NE | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 981225 Nebraska Medical Ctr, Omaha, NE 681981225 | 4025597777 |
| Street Address |
9045 US HIGHWAY 31 STE 3 |
| City | BERRIEN SPRINGS |
| State | MI |
| Zip Code | 49103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285270249 | Lakeland Medical Practices | Family Medicine | 9045 Old Us 31, Suite A, Berrien Springs, MI 49103 | 2019-11-25 |
| 1972163491 | Claudia Davisson | Speech-Language Pathologist | 10408 South Moccasin Trail, Berrien Springs, MI 49103 | 2019-06-17 |
| 1194291179 | Dalton Enrico Latham | Nurse Practitioner | 8521 Kephart Lane, Berrien Springs, MI 49103 | 2018-10-17 |
| 1396104303 | Healing and Restoring Pllc | Preventive Medicine | 8704 N. Bluffview Drive, Berrien Springs, MI 49103 | 2016-02-18 |
| 1508266941 | Lynn M. Schafer | Audiologist | One Sylvester Ave., Berrien Springs, MI 49103 | 2014-09-03 |
| 1427479351 | Meadowview Garden Afc | Foster Care Agency | 8817 Meadowview Court, Berrien Springs, MI 49103 | 2013-12-19 |
| 1881024511 | Loving Care Foster Homes | Assisted Living Facility | 3611 E. Snow Rd., Berrien Springs, MI 49103 | 2013-11-15 |
| 1689923054 | Raquel Dejesus | Nurse Practitioner | 4421 International Ct, Apt 13, Berrien Springs, MI 49103 | 2012-08-31 |
| 1285767095 | Lorie Ann Hamel | Psychologist | 9045 Us 31, Berrien Springs, MI 49103 | 2007-03-13 |
| 1346309606 | Nancy Jo Carbonell | Psychologist | 9045 S. U.S. 31, University Medical Specialties, Berrien Springs, MI 49103 | 2006-12-06 |
| Find all providers in zip 49103 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487947446 | Lakeland Medical Practices | Otolaryngology | 9045 Us Highway 31, Ste 3, Berrien Springs, MI 49103-1804 | 2011-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104445980 | Anuja Dharap | Otolaryngology | 35630 Grand River Ave Apt 217, Farmington Hills, MI 48335-3120 | 2020-04-13 |
| 1598311334 | Cogent Medical Group Pllc | Otolaryngology | 28300 Orchard Lake Rd Ste 101, Farmington Hills, MI 48334-3704 | 2019-08-16 |
| 1073025334 | Robert J Stachler Md PC | Otolaryngology | 33200 W. 14 Mile Rd., Ste. 240, West Bloomfield, MI 48322 | 2017-10-26 |
| 1255878062 | W.a. Foote Memorial Hospital, Inc | Otolaryngology | 205 N.east Ave, Jackson, MI 49201 | 2017-01-31 |
| 1174905822 | Scott Jacob Schwartz | Otolaryngology | 6900 Orchard Lake Rd Ste 314, West Bloomfield, MI 48322-3457 | 2015-06-18 |
| 1669868402 | Cameron M Heilbronn | Otolaryngology | 21000 E 12 Mile Rd Ste 111, Saint Clair Shores, MI 48081-1156 | 2015-04-08 |
| 1104230523 | Gary Zachary White | Otolaryngology | 300 North Ave Ste 1400, Battle Creek, MI 49017 | 2014-06-13 |
| 1437574530 | Beacon Medical Group, Inc. | Otolaryngology | 711 S Health Pkwy Ste 1, Medical Office Building #1, Three Rivers, MI 49093-8354 | 2014-02-26 |
| 1124361621 | Eric Fahed Succar | Otolaryngology | 44200 Woodward Ave Ste 201, Pontiac, MI 48341-5045 | 2013-04-03 |
| 1396086286 | Nathan Vandjelovic | Otolaryngology | 4201 Saint Antoine St # 9c, Detroit, MI 48201-2153 | 2013-03-03 |
| Find all providers with the same taxonomy | ||||
| City | BERRIEN SPRINGS |
| Zip Code | 49103 |
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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.