DR. ERIC J UDOFF (NPI# 1508848565) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508848565 |
| Entity Type | Individual |
| Full Name | DR. ERIC J UDOFF |
| Credential | MD |
| Practice Address |
303 Parkway Drive Ne Atlanta GA 30312 |
| Mailing Address |
6000 Lake Forrest Dr Nw Suite 475 Atlanta GA 30328-3824 |
| Practice Telephone | 4042654000 |
| Mailing Telephone | 4044598440 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2011-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34732 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 000470984D | 05 |
| Street Address |
303 PARKWAY DRIVE NE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831719343 | Luis Miguel Nieto | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, Wellstar Amc Internal Medicine Residency Program, Atlanta, GA 30312-1212 | 2020-04-24 |
| 1356978589 | Paula Bugg-wrenn | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, 4th Floor 4w, Atlanta, GA 30312 | 2020-03-26 |
| 1821550617 | David Carney | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, Gme Office, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1992293138 | Syeda Hira Zahid | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, Atlanta, Georgia 30312-1212, Atlanta, GA 30312-1212 | 2018-04-24 |
| 1497250641 | Sana Virani | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive Ne, Atlanta, GA 30312 | 2018-03-29 |
| 1154662914 | Amy Siegel | Occupational Therapist | 303 Parkway Drive Ne, Wellness Center, Atlanta, GA 30312-5166 | 2013-03-04 |
| 1659633519 | Abby Elaine Nichols | Anesthesiologist Assistant | 303 Parkway Drive Ne, Atlanta, GA 30312-1212 | 2012-06-15 |
| 1114180239 | Peter A. Beverly | Nurse Anesthetist, Certified Registered | 303 Parkway Drive Ne, Pmb 404, Atlanta, GA 30312-1212 | 2008-07-09 |
| 1164404521 | Alan R Johnson | Radiology | 303 Parkway Drive Ne, Atlanta, GA 30312 | 2005-11-18 |
| 1326020389 | Lizabeth A Humphrey | Radiology | 303 Parkway Drive Ne, Atlanta, GA 30312 | 2005-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770108516 | Bita Ranjbari | Physician Assistant | 659 Auburn Ave Se, Suite 505, Atlanta, GA 30312 | 2020-06-08 |
| 1609439629 | Adeyinka Edward Adeniyi | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center, 303 Parkway Drive Ne, 4th Floor, Internal Medicine Department, Atlanta, GA 30312 | 2019-04-16 |
| 1003378670 | James Spratt IIi | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Ne, 4th Floor, Wellstar Atlanta Medical Center Department of Orthopaed, Atlanta, GA 30312 | 2019-04-03 |
| 1659833440 | Derrick Edward Wendler | Student in an Organized Health Care Education/Training Program | Wellstar Atlanta Medical Center Dpt of Orthopaedics, 303 Parkway Drive Ne, 4th Floor, Atlanta, GA 30312 | 2019-04-02 |
| 1336631266 | The Atlanta Small Business Training Consortium, Inc. | Local Education Agency (LEA) | 250 Georgia Ave Se Ste 207a, Atlanta, GA 30312 | 2018-06-06 |
| 1669960134 | Derek Mccranie | Student in an Organized Health Care Education/Training Program | 303 Parkway Drive, Atlanta, FL 30312 | 2018-04-30 |
| 1336646223 | Amy Ruth Williams | Nurse Practitioner | 383 Ralph Mcgill Blvd Ne Apt D, Atlanta, GA 30312 | 2018-04-09 |
| 1730689183 | Lisa Marie Margavage | Chiropractor | 720 Ralph Mcgill Blvd Ne Unit 210, Atlanta, GA 30312 | 2018-02-12 |
| 1922518836 | Rodney Aldridge | Registered Nurse | 250 Georgia Avenue, Suite 206, Atlanta, GA 30312 | 2017-10-05 |
| 1629599279 | Huda Hashim Elsamani Elsheikh | Student in an Organized Health Care Education/Training Program | 303 Parkway Dr Ne, Wellstar Atlanta Medical Center, Dept of Graduate Medical Education, Internal Medicine, Atlanta, GA 30312 | 2017-07-05 |
| Find all providers in zip 30312 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770945016 | Charlotte Chung | Radiology | 1364 Clifton Rd Ne Rm D125a, Atlanta, GA 30322-4509 | 2016-03-25 |
| 1295172351 | Philip Kin-wai Wong | Radiology | 1364 Clifton Rd Ne Ste D125, Atlanta, GA 30322 | 2013-05-30 |
| 1982049292 | Mohamed Yahya Al Sawaf | Radiology | 550 Peachtree St. N.w., Atlanta, GA 30309 | 2013-05-01 |
| 1699015792 | Peter Ju Park | Radiology | 100 Woodruff Cir Ne, Suite 327, Atlanta, GA 30322-0001 | 2013-02-26 |
| 1851657571 | Mircea Mihai Cristescu | Radiology | Emory University 1364 Clifton Rd, Atlanta, GA 30322 | 2012-04-06 |
| 1912273483 | Sagar Bipin Amin | Radiology | 1365 Clifton Rd Ne Dept Of, Atlanta, GA 30322 | 2012-03-28 |
| 1417236241 | Ernst Murphy Ruder | Radiology | 1175 W Garmon Rd Nw, Atlanta, GA 30327-4401 | 2011-08-10 |
| 1124311212 | Colin Michael Segovis | Radiology | Emory University 1364 Clifton Rd Ne, Atlanta, GA 30332 | 2011-05-23 |
| 1518265883 | Barbara Erwin Robertson | Radiology | 11 Riverly Pl Nw, Atlanta, GA 30327-2500 | 2011-03-10 |
| 1881918845 | Margaret Fleming | Radiology | 1365 Clifton Road, Department of Radiology, Suite D-125a, Atlanta, GA 30322 | 2010-03-19 |
| Find all providers in ATLANTA | ||||
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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.