SAMANTHA D HUDRLIK (NPI# 1639519325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639519325 |
| Entity Type | Individual |
| Full Name | SAMANTHA D HUDRLIK |
| Practice Address |
1910 South Ave La Crosse WI 54601-5467 |
| Mailing Address |
3301 Biddle Ave Apt 1c Wyandotte MI 48192-6267 |
| Practice Telephone | 6087827300 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2019-11-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 72068 | WI | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 5101020512 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6245 Inkster Rd, Garden City, MI 481354001 | 7344213300 |
| Street Address |
1910 SOUTH AVE |
| City | LA CROSSE |
| State | WI |
| Zip Code | 54601-5467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790780302 | Aaron J Hanesworth | Emergency Medicine | 1910 South Ave, La Crosse, WI 54601-5467 | 2005-06-20 |
| 1154732063 | Craig Daniel Destree | Internal Medicine | 1910 South Ave, La Crosse, WI 54601-5467 | 2014-05-13 |
| 1730435710 | Christine Rae Fishel | Advanced Practice Midwife | 1910 South Ave, La Crosse, WI 54601 | 2012-07-27 |
| 1114230075 | Teresa M Schlintz | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2010-07-21 |
| 1194037275 | Jacquelyn Muriel Brook Hammen | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2010-07-06 |
| 1023346657 | Casey John Bablitch | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2009-11-19 |
| 1477790640 | Jennifer J Loos | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2009-01-09 |
| 1114172608 | Carrie Jo Baumgartner | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2008-11-25 |
| 1154582062 | Joseph Bodnar | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2008-06-23 |
| 1881863835 | Linda F Wissing | Counselor | 1910 South Ave, La Crosse, WI 54601-5467 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891324265 | Meagan Mcrae | Student in an Organized Health Care Education/Training Program | 1725 State St., 4051 Health Science Center, La Crosse, WI 54601 | 2020-04-07 |
| 1255969671 | Erin Dingman | Student in an Organized Health Care Education/Training Program | 1751 State Street, 4051 Health Science Center, La Crosse, WI 54601 | 2020-03-31 |
| 1619505047 | Nicole Kay Lynch | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State St, La Crosse, WI 54601 | 2020-03-31 |
| 1174151757 | Jenna Sells | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1740818301 | Katie Irene Tahtinen | Student in an Organized Health Care Education/Training Program | Uwl- 4051 Health Science Center, 1725 State St., La Crosse, WI 54601 | 2020-03-30 |
| 1932737517 | Margaret May Grimm | Student in an Organized Health Care Education/Training Program | Univesity of Wisconsin-la Crosse, 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1831727312 | Matthew Timothy Axler | Student in an Organized Health Care Education/Training Program | 4051 Health Science Center, 1725 State Street, La Crosse, WI 54601 | 2020-03-30 |
| 1093340473 | Denise Stinson | Technician | 1311 Badger St, Apt 505, La Crosse, WI 54601 | 2020-03-06 |
| 1922632397 | Ibrahim Ahsan | Pharmacist | 1105 Wi-16, La Crosse, WI 54601 | 2020-02-25 |
| 1750913356 | Liza R Collins | Massage Therapist | 1415 State Wi 16, La Crosse, WI 54601 | 2020-02-11 |
| Find all providers in zip 54601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558740589 | Brandon Chase Dessecker | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2015-05-22 |
| 1003201427 | Jessica Mae Rasmussen | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2015-04-02 |
| 1821483355 | Brendon Michael Esquibel | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2015-04-01 |
| 1356752828 | Katelyn M Mellion | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2014-05-18 |
| 1407267206 | Laura Ann Hill | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2014-05-14 |
| 1609213230 | Tripurari Mishra | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2013-05-22 |
| 1386088565 | David William Nelms | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2013-04-18 |
| 1225393176 | Michael C Morell | Surgery | 1836 South Ave, La Crosse, WI 54601-5429 | 2012-07-06 |
| 1821305301 | Amy A. Lloyd | Surgery | 800 West Avenue S., La Crosse, WI 54601-8806 | 2010-09-07 |
| 1396060679 | Jacob Robert Peschman | Surgery | 1836 South Ave, La Crosse, WI 54601 | 2010-03-30 |
| Find all providers in LA CROSSE | ||||
Please comment or provide details below to improve the information on SAMANTHA D HUDRLIK.
| 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.