DR. JOHN N UDALL (NPI# 1346341211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346341211 |
| Entity Type | Individual |
| Full Name | DR. JOHN N UDALL |
| Credential | M.D. |
| Practice Address |
830 Pennsylvania Ave, Suite 103 Charleston WV 25302 |
| Mailing Address |
Po Box 7000 Morgantown WV 26507-7000 |
| Practice Telephone | 3043881552 |
| Practice Fax Number | 3043881577 |
| Mailing Telephone | 3043471290 |
| Mailing Fax Number | 3043471397 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
21878 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 3810001803 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649477357 | John Hunt Udall | Orthopaedic Surgery | 1432 S Dobson, Suite 304, Mesa, AZ 85202 | 2007-06-27 |
| 1851390884 | John Brian Udall | Radiology | 1210 W Faris Rd, Greenville, SC 29605-4444 | 2005-07-20 |
| Street Address |
830 PENNSYLVANIA AVE, SUITE 103 |
| City | CHARLESTON |
| State | WV |
| Zip Code | 25302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578664421 | James E Mcjunkin | Pediatrics | 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302 | 2006-09-25 |
| 1568849511 | Mahvish Qureshi Rahim | Pediatrics | 830 Pennsylvania Ave, Suite 103, Women & Children's Medical Staff Office Building Peds, Charleston, WV 25302 | 2015-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871963 | Sha'la Wright | Technician | 713 Orchard Street Apt. G, Charleston, WV 25302 | 2020-11-03 |
| 1154929446 | Christine Balser | Technician | 3324 Pennsylvania Avenue, Charleston, WV 25302 | 2020-10-09 |
| 1629698865 | Umer Muhammad | Student in an Organized Health Care Education/Training Program | Childrens Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2020-04-17 |
| 1689209660 | Annedie Beauty Equipment Wholesale | Prosthetic/Orthotic Supplier | 3406 Pennsylvania Avenue, Charleston, WV 25302 | 2020-03-10 |
| 1932753530 | Northwest Pharmacy, LLC | Pharmacy | 708 Bigley Ave, Ste A, Charleston, WV 25302 | 2019-07-31 |
| 1831753185 | Philip Rhoney Fending | Student in an Organized Health Care Education/Training Program | Camc Ob/gyn Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-23 |
| 1851854491 | Amee Atulkumar Amin | Student in an Organized Health Care Education/Training Program | Familycare/ Children's Medicine Center, 800 Pennsylvania Ave, Charleston, WV 25302 | 2019-04-10 |
| 1790276525 | Womencare Inc | Clinic/Center | 812 Park Ave # 35, Charleston, WV 25302 | 2018-05-29 |
| 1245729771 | Zunaira Mahmood | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave., Familycare/children's Medicine C, Charleston, WV 25302 | 2018-05-10 |
| 1093212383 | Rahiya Binte Rehman | Student in an Organized Health Care Education/Training Program | 800 Pennsylvania Ave Family Care / Children's Medicine, Charleston, WV 25302 | 2018-04-12 |
| Find all providers in zip 25302 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154775963 | Jeffrey Lee | Pediatrics | 135 Rutledge Ave # 489b, Charleston, SC 29425 | 2016-04-18 |
| 1760800650 | Carmine Suppa | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-3816 | 2014-03-28 |
| 1578852828 | Nagraj Kasi | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2011-04-06 |
| 1225281124 | University Medical Associates | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-10-23 |
| 1063672475 | Candi S Jump | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-8908 | 2008-06-10 |
| 1205946290 | Janaina Nogueira Anderson | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-1711 | 2006-08-30 |
| 1598726465 | R. Bhanu Vikraman Pillai | Pediatrics | 171 Ashley Ave, Charleston, SC 29425-0100 | 2006-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609216605 | Pediatric Gastroenterology of Charleston, Pllc | Pediatrics | 428 Division St, Suite 3a, South Charleston, WV 25309-1469 | 2013-07-05 |
| 1619243714 | Amy J Guido | Pediatrics | 1 Medical Center Dr, Morgantown, WV 26506 | 2012-03-22 |
| 1063688265 | Audra Suzanne Rouster | Pediatrics | 1 Medical Center Dr, 9214, Morgantown, WV 26506-9214 | 2008-05-07 |
| 1174615587 | Brian Riedel | Pediatrics | 1 Medical Center Dr, Poc Pediatric Clinic, Morgantown, WV 26506 | 2006-09-30 |
| City | CHARLESTON |
| Zip Code | 25302 |
Please comment or provide details below to improve the information on DR. JOHN N UDALL.
| 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.