MICHAEL HUDSON


Address: 777 Clinton Ave S, Attn Santina Tu, Rochester, NY 14620-1448
Phone: 5852794896

MICHAEL HUDSON (NPI# 1285167007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285167007
Entity Type Individual
Full Name MICHAEL HUDSON
Other Name MICHAEL DEGRAW-BERTSCH
Credential MD
Practice Address 777 Clinton Ave S
Attn Santina Tu
Rochester
NY 14620-1448
Mailing Address 777 Clinton Ave S
Rochester
NY 14620-1448
Practice Telephone 5852794896
Mailing Telephone 5852794800
Enumeration Date 2017-04-08
Last Update Date 2020-04-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 303220 NY Allopathic & Osteopathic Physicians

Other Providers MICHAEL HUDSON

NPI Name Taxonomy Address Enumeration
1386253599 Michael Lee Hudson Student in an Organized Health Care Education/Training Program 3023 Sumerlyn Ct, Auburn Hills, MI 48326-1799 2020-07-24
1306287743 Michael Graham Hudson Occupational Therapist 206 Dunovant Ct, Aiken, SC 29803-7911 2013-07-15
1508101015 Michael Ross Hudson Counselor 7510 Fm 1765 Bldg 1, Texas City, TX 77591-3672 2012-12-10
1437788064 Michael Gerard Hudson Student in an Organized Health Care Education/Training Program 600 Gresham Drive, Raleigh Building, Room 304, Norfolk, VA 23507 2020-04-06
1003283698 Michael Hudson Counselor 1216 Bay St, Bellingham, WA 98225 2015-08-31
1851794788 Michael J Hudson Nurse Practitioner 10300 W 8 Mile Rd, Ferndale, MI 48220-2100 2014-10-07
1902180490 Michael Hudson II Pharmacist 4828 Davis Lant Dr, Evansville, IN 47715-8919 2011-10-03
1023325040 Michael Willard Hudson Physical Therapist 400 S Indiana Ave, Englewood, FL 34223-3752 2010-09-13
1184940041 Michael Thomas Hudson Counselor 519 S 4th St W, Missoula, MT 59801-2629 2010-04-15
1497071773 Michael Hudson Radiology 2950 S Maryland Pkwy, Las Vegas, NV 89109-2204 2010-04-12

Office Location

Street Address 777 CLINTON AVE S
ATTN SANTINA TU
City ROCHESTER
State NY
Zip Code 14620-1448

Providers in the same location

NPI Name Taxonomy Address Enumeration
1184664948 Strong Medical Group Pediatrics 777 Clinton Ave S, Rochester, NY 14620-1448 2006-06-08
1386266971 Julia Sanger Student in an Organized Health Care Education/Training Program 777 Clinton Ave S, Rochester, NY 14620-1448 2020-05-18
1962024299 Sarah Minney Student in an Organized Health Care Education/Training Program 777 Clinton Ave S, Rochester, NY 14620-1448 2020-05-08
1912528142 Lisa Michelle Denmark Registered Nurse 777 Clinton Ave S, Rochester, NY 14620-1448 2020-04-28
1669093993 Ellerie Chen Student in an Organized Health Care Education/Training Program 777 Clinton Ave S, Rochester, NY 14620-1448 2020-04-27
1962022301 Alexis Davis Student in an Organized Health Care Education/Training Program 777 Clinton Ave S, Rochester, NY 14620-1448 2020-04-24
1114547452 Courtney Elizabeth Kodweis Student in an Organized Health Care Education/Training Program 777 Clinton Ave S, Rochester, NY 14620-1448 2020-04-16
1861011348 Joel Fandel Student in an Organized Health Care Education/Training Program 777 Clinton Ave S, Rochester, NY 14620-1448 2020-04-14
1063031748 Scott Joseph Neary Student in an Organized Health Care Education/Training Program 777 Clinton Ave S, Rochester, NY 14620-1448 2020-04-13
1316566110 Hannah Marie Root Student in an Organized Health Care Education/Training Program 777 Clinton Ave S, Rochester, NY 14620-1448 2020-04-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356974174 Linda D Pratt Speech-Language Pathologist Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 2020-02-20
1609417617 Maisie Katherine Pipher Physician Assistant 110 Crittenden Blvd, Rochester, NY 14620 2019-10-01
1215592332 Allison Mckeown Student in an Organized Health Care Education/Training Program 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 2019-05-03
1114495736 Tabitha Domonique Griffin Licensed Practical Nurse 55 Forthill Terrace, Rochester, NY 14620 2018-11-13
1700371960 Deborah Paul Dermatology 40 Celebration Dr # 697, Rochester, NY 14620 2018-06-28
1942725791 Emily Catone Nurse Practitioner 252 Cobb Terrace, Rochester, NY 14620 2017-08-12
1104355593 Acacia Palmer Counselor 150 Mount Hope Avenue, Rochester, NY 14620 2017-06-08
1750818803 Meagan Michelle Goates Student in an Organized Health Care Education/Training Program 150 Crittenden Blvd, Rochester, NY 14620 2017-05-20
1386170470 Kendall Battle Licensed Practical Nurse 479 South Ave Apt B, Rochester, NY 14620 2017-05-10
1285167700 Gina Josette Kuehn Student in an Organized Health Care Education/Training Program 40 Celebration Dr # 278733, Rochester, NY 14620 2017-04-11
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467090761 Community Medical Services, PC Family Medicine Community Medical Services, PC, 39 Delevan Street, Rochester, NY 14605 2019-12-17
1699336511 Ruth Archibald Family Medicine 6962 Cottonwood Ct Nw, Rochester, MN 55901-8835 2019-06-21
1982132635 Stephanie Parvan Family Medicine 1100 Long Pond Rd Ste 250, Rochester, NY 14626-1186 2017-05-25
1659804169 Natasha Vadera Family Medicine Highland Family Medicine 777 S Clinton Ave, Rochester, NY 14642-0001 2017-04-11
1467804203 Izabela Teresa Subczynska Family Medicine 454 E Broad St Ste 100, Rochester, NY 14607-1724 2016-07-05
1720433345 Jerry Kong Family Medicine 919 Westfall Rd Ste 100, Rochester, NY 14618-2628 2016-05-02
1619352051 Lavanya Ravindran Family Medicine 89 Genesee St Bldg 3, Rochester, NY 14611 2015-07-28
1346628930 Bohdan Klymochko Family Medicine 1300 Jefferson Rd Ste 100, Rochester, NY 14623 2015-05-14
1851705628 Resika Ubayawardena Family Medicine 222 Alexander St, Ste 5000, Genesee Internal Medicine At Alexander Park, Rochester, NY 14607-4039 2014-06-19
1942613344 Lishan Jhanealle Walker Family Medicine 10 S Pointe Lndg Ste 210, Rochester, NY 14606-3481 2014-06-04
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Competitor

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City ROCHESTER
Zip Code 14620

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Dataset Information

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.

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