DR. THOMAS E JUDD (NPI# 1740210756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740210756 |
| Entity Type | Individual |
| Full Name | DR. THOMAS E JUDD |
| Other Name | MR. THOMAS E JUDD |
| Credential | M.D. |
| Practice Address |
1355 N University Ave Ste 110 Provo UT 84604-2721 |
| Practice Telephone | 8013745000 |
| Practice Fax Number | 8013740077 |
| Mailing Telephone | 8013745000 |
| Mailing Fax Number | 8013740077 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2008-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 156259-1205 | UT | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952565772 | Thomas P Judd | Dentist | 1901 #b Western Avenue, Ihc South Bend, South Bend, IN 46601 | 2008-07-10 |
| 1487615704 | Thomas Aaron Judd | Optometrist | 15640 New Hampshire Ct, Fort Myers, FL 33908-4168 | 2006-03-28 |
| 1497944367 | Thomas David Judd | Social Worker | 3181 Sandhill Rd, Mason, MI 48854 | 2007-10-17 |
| 1780788802 | Thomas Elvin Judd | Internal Medicine | 10 Hospital Dr, Ste 105, Holyoke, MA 01040 | 2006-09-11 |
| 1740276542 | Thomas K. Judd | Internal Medicine | 3700 Saint Charles Ave, 4th Floor, New Orleans, LA 70115-4637 | 2005-09-27 |
| Street Address |
1355 N UNIVERSITY AVE STE 110 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-2721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427306752 | Kalie Ann Larson | Specialist | 370 S 200 E, Bsmt, Provo, UT 84606-4608 | 2012-08-16 |
| 1356613558 | Ronald G. Duerksen, Md, PC | Specialist | 1055 N 300 W Ste 416, Provo, UT 84604-3354 | 2012-02-02 |
| 1417253709 | Tyra Pomazal | Specialist | 659 N 700 E, Provo, UT 84606-6921 | 2011-02-03 |
| 1336264050 | Utah Vascular Center | Specialist | 1055 N 300 W Ste 205, Provo, UT 84604-5044 | 2007-03-20 |
| 1851450720 | Utah Surgical Associates, Inc. | Specialist | 3550 N University Ave Ste 250, Provo, UT 84604-6685 | 2006-12-07 |
| 1760464895 | A Creig Macarthur | Specialist | 1055 North 300 West, Suite 212, Provo, UT 84604 | 2005-11-15 |
| 1417938325 | Hugo G Altamirano | Specialist | 745 N 500 W, #200, Provo, UT 84601-1472 | 2005-11-08 |
| 1851397491 | Paul Ferron Olson | Specialist | 1055 N 300 W, Ste 204, Provo, UT 84604-3374 | 2005-06-27 |
| 1144223835 | Bruce C Mcallister | Specialist | 1055 N 500 W, Suite 102, Provo, UT 84604-3305 | 2005-05-27 |
| 1952761132 | Louis Hopoate | Specialist | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2016-03-01 |
| Find all providers in PROVO | ||||
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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.