MARILYN W FUDGE (NPI# 1306822887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306822887 |
| Entity Type | Individual |
| Full Name | MARILYN W FUDGE |
| Credential | MD |
| Practice Address |
700 6th St S St Petersburg FL 33701-4815 |
| Practice Telephone | 7278936198 |
| Mailing Telephone | 7278936198 |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2015-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME79050 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 264650100 | 05 |
| Street Address |
700 6TH ST S |
| City | ST PETERSBURG |
| State | FL |
| Zip Code | 33701-4815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425119 | Daniel Albert Nedresky | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2020-04-09 |
| 1982223913 | Timothy Carr Marsh | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2020-04-09 |
| 1487283867 | Charlotte Kelsey George | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2020-04-07 |
| 1346879939 | Christa Michelle Finer | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2020-04-06 |
| 1013546670 | Mariam Aboulela | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2020-04-06 |
| 1154950194 | Ernest Carl Frederick Von Harten Iv | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2020-04-02 |
| 1700414067 | Hunter Rafoth | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2020-03-31 |
| 1326676032 | Amanda Madeline O'connell | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2020-03-29 |
| 1740743087 | Maurice Eric Hord Jr. | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2019-04-12 |
| 1306308770 | Laura Catherine Nall | Student in an Organized Health Care Education/Training Program | 700 6th St S, St Petersburg, FL 33701-4815 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514603 | Tien Thuy Hoang | Pharmacist | 875 Dr M.l.k. Jr St N, St. Petersburg, FL 33701 | 2020-10-06 |
| 1851920953 | Michelle Tedrowe | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg Family Care Center, 700 6th Street South, St. Petersburg, FL 33701 | 2020-04-02 |
| 1164070264 | Melissa Joy Fitzpatrick | Occupational Therapist | 239 14 Ave Ne, St Petersburg, FL 33701 | 2019-09-01 |
| 1841763091 | William Carpenter Scott | Dentist | 239 2nd Ave S # 100, St Petersburg, FL 33701 | 2019-01-09 |
| 1992289318 | Westminster Senior Services, Inc. | Registered Nurse | 830 North Shore Dr. Ne, St. Petersburg, FL 33701 | 2018-09-21 |
| 1265929780 | B&b Florida Eye Care Pllc | Optometrist | 1380 4th St N, St. Petersburg, FL 33701 | 2018-04-19 |
| 1730684895 | Loraine Marie Torres Garcia | Student in an Organized Health Care Education/Training Program | Bayfront Health St Petersburg, 700 6th Street South, St Petersburg, FL 33701 | 2018-03-29 |
| 1598267445 | Vincent Malik Dehili | Psychologist | 146 2nd Street North, Suite 305, St. Petersburg, FL 33701 | 2018-03-07 |
| 1770083073 | Megan Sanborn | Nurse Practitioner | 601 5th St S Ste 304, St Petersburg, FL 33701 | 2018-02-14 |
| 1174037089 | Julius Griffin | Licensed Practical Nurse | 1115 Highland St N, Apt B, Saint Petersburg, FL 33701 | 2017-11-30 |
| Find all providers in zip 33701 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| 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 Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285014514 | Tammy Nguyen | Obstetrics & Gynecology | 5959 Central Ave Ste 103, St Petersburg, FL 33710-8502 | 2015-06-02 |
| 1912331943 | Solimar Jimenez Diaz | Obstetrics & Gynecology | 6450 38th Ave N Ste 200, St Petersburg, FL 33710 | 2013-08-27 |
| 1720384571 | Raphael Guichard | Obstetrics & Gynecology | 625 6th Ave S Ste 350, St Petersburg, FL 33701-4619 | 2011-01-26 |
| 1326210238 | Jennifer Elizabeth Griffin | Obstetrics & Gynecology | 205 Dr, Martin Luther King Jr. St. N., St Petersburg, FL 33701 | 2008-03-31 |
| 1699842062 | Layla R. Townsend | Obstetrics & Gynecology | 625 6th Avenue South, Suite #350, St Petersburg, FL 33701 | 2006-11-29 |
| 1194819524 | Emanuel L Javate | Obstetrics & Gynecology | 6700 Crosswinds Dr No, Suite 200-a, St Petersburg, FL 33710 | 2006-10-02 |
| 1780697870 | Megan Dawn Indermaur | Obstetrics & Gynecology | 2191 9th Ave N Ste 120, St Petersburg, FL 33713-7147 | 2006-08-13 |
| 1669440665 | Donna Hargrove | Obstetrics & Gynecology | 712 16th St N, St Petersburg, FL 33705-1335 | 2006-03-08 |
| 1043208523 | Molly M Long | Obstetrics & Gynecology | 603 7th St S, Suite 300, St Petersburg, FL 33701-4719 | 2005-10-10 |
| 1336137819 | Jennifer R Gilby | Obstetrics & Gynecology | 1600 Dr Martin Luther King St N, St Petersburg, FL 33704-4204 | 2005-10-10 |
| Find all providers in ST PETERSBURG | ||||
| City | ST PETERSBURG |
| Zip Code | 33701 |
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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.