SHAWN P HUDSON (NPI# 1396717997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396717997 |
| Entity Type | Individual |
| Full Name | SHAWN P HUDSON |
| Credential | DO |
| Practice Address |
50 South Park Suite 3 Corbin KY 40701 |
| Mailing Address |
Po Box 1384 Corbin KY 40702-1384 |
| Practice Telephone | 6066584441 |
| Practice Fax Number | 8665215353 |
| Mailing Telephone | 6066584441 |
| Mailing Fax Number | 8665215353 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2011-02-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 02933 | KY | Allopathic & Osteopathic Physicians |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
02933 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | DEA | FH0049064 | 01 |
| KY | KY MEDICAID EFFECTIVE 1-9-2006 | 64116635 | 01 |
| KY | STATE LICENSE | 02933 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568095339 | Shawn Kevin Hudson | Peer Specialist | 12655 Sw Center St Ste 100, Beaverton, OR 97005-1600 | 2020-02-19 |
| 1881119287 | Shawn Michael Hudson | Counselor | 669 S Haywood St, Waynesville, NC 28786-6703 | 2017-08-07 |
| 1134305790 | Shawn M Hudson | Homeopath | 301 E Sharp Ave, Spokane, WA 99202-1835 | 2008-01-14 |
| Street Address |
50 SOUTH PARK SUITE 3 |
| City | CORBIN |
| State | KY |
| Zip Code | 40701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880640 | Kristie Lynn Hale | Nurse Practitioner | 521 East Cumberland Gap Parkway, Suite 1, Corbin, KY 40701 | 2020-10-29 |
| 1376014183 | Ruth Ann Thornhill | Nurse Practitioner | 521 E. Cumberland Gap Parkway #1, Corbin, KY 40701 | 2018-12-06 |
| 1770066136 | Grace Community Health Center, Inc. | Psychologist | 50 Ed Mcneel Drive, Corbin, KY 40701 | 2018-09-12 |
| 1235610353 | Linda Bales | Occupational Therapist | 112 Commonwealth Avenue, Corbin, KY 40701 | 2018-08-27 |
| 1710465398 | Holly Davina Bingham | Counselor | 1203 Amercn Grtg Card Rd, Corbin, KY 40701 | 2018-08-05 |
| 1881134914 | Angie Mossie Ledford | Nurse Practitioner | 521 Cumberland Gap Parkway #1, Corbin, KY 40701 | 2017-03-08 |
| 1669915609 | Energized Therapy | Occupational Therapist | 702 Phillips Lane, Corbin, KY 40701 | 2016-11-23 |
| 1649635293 | Debra Ann Hipsher | Counselor | 967 South Hwy 25 West, Corbin, KY 40701 | 2015-12-28 |
| 1356729438 | Sean William James | Family Medicine | 14949 N Us Highway 25 E Ste 4, Corbin, KY 40701 | 2015-05-11 |
| 1962847285 | Angela Davidson Gabbard | Dentist | 129 S. Hwy 1223, Corbin, KY 40701 | 2013-04-30 |
| Find all providers in zip 40701 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942450762 | Anthony E. Abang, M.d., Pllc. | Physical Medicine & Rehabilitation | 2005 N Dixie Avenue, Elizabethtown, KY 42701 | 2008-09-29 |
| 1134300932 | Allen Maynard | Physical Medicine & Rehabilitation | 17401 Kentucky Hwy 80 East, Elkhorn City, KY 41522-8210 | 2007-11-20 |
| 1306907480 | Our Lady Bellefonte Hospital, Inc | Physical Medicine & Rehabilitation | 1150 Saint Christopher Dr, Ashland, KY 41101-7055 | 2006-12-13 |
| 1427087394 | Healing Journey Psc | Physical Medicine & Rehabilitation | 3025 Clay St, Paducah, KY 42001-4071 | 2006-07-02 |
| 1154389187 | Rick Anthony Pellant | Physical Medicine & Rehabilitation | 100 London Mountain View Dr Fl 1, London, KY 40741-6668 | 2006-05-01 |
| 1548250525 | Anthony E Abang | Physical Medicine & Rehabilitation | 2005 North Dixie Avenue, Elizabethtown, KY 42701-2526 | 2005-10-21 |
| 1699380436 | Community Medical Associates, Inc. | Physical Medicine & Rehabilitation | 1930 Bishop Ln Ste 1017, Louisville, KY 40218-1933 | 2020-09-09 |
| 1770935041 | Laurel County Physiatry and Pain LLC | Physical Medicine & Rehabilitation | 130 Thompson Poynter Rd, Suite 3, London, KY 40741-7280 | 2016-07-11 |
| 1033564166 | Kevin Carter Andres | Physical Medicine & Rehabilitation | 530 S Jackson St Rm C2a03, Louisville, KY 40202-1675 | 2016-04-26 |
| 1851684203 | Kavita Manchikanti | Physical Medicine & Rehabilitation | 2831 Lone Oak Rd, Paducah, KY 42003-8041 | 2011-05-18 |
| Find all providers with the same taxonomy | ||||
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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.