MICHAEL HUDSON (NPI# 1285167007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 303220 | NY | Allopathic & Osteopathic Physicians |
| 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 |
| Street Address |
777 CLINTON AVE S ATTN SANTINA TU |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620-1448 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 14620 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| Find all providers in ROCHESTER | ||||
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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.