DEBORAH HUDAK (NPI# 1760485825) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760485825 |
| Entity Type | Individual |
| Full Name | DEBORAH HUDAK |
| Credential | D.O. |
| Practice Address |
1653 E Mcmurray Blvd Ste 132 Casa Grande AZ 85122-5934 |
| Practice Telephone | 5208760478 |
| Practice Fax Number | 5208760484 |
| Mailing Telephone | 5208760478 |
| Mailing Fax Number | 5208760484 |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2015-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 3363 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 441246 | 05 | |
| MEDICARE | ZFQ31815 | 01 | |
| MEDICARE | 03-1815 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962593509 | Deborah Kessler Hudak | Dermatology | 8311 Bandford Way, Suite 103, Raleigh, NC 27615-2756 | 2006-09-27 |
| Street Address |
1653 E MCMURRAY BLVD STE 132 |
| City | CASA GRANDE |
| State | AZ |
| Zip Code | 85122-5934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386000495 | Central Arizona Surgery Center | Clinic/Center | 1653 E Mcmurray Blvd, Suite 141, Casa Grande, AZ 85122-5934 | 2016-01-05 |
| 1114960887 | George Roger Edelen | Anesthesiology | 1653 E Mcmurray Blvd, Suite 144, Casa Grande, AZ 85122-5934 | 2006-06-13 |
| 1013987072 | Habib U Khan | Psychiatry & Neurology | 1653 E Mcmurray Blvd, Suite 139, Casa Grande, AZ 85222-2023 | 2006-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043857097 | Karen M Garcia | Registered Nurse | 2631 N Brown Avenue, Casa Grande, AZ 85122 | 2019-12-09 |
| 1063060291 | Martha Bollin | Registered Nurse | 2631 N. Brown Ave., Casa Grande, AZ 85122 | 2019-08-30 |
| 1841846920 | Banner Imaging Services LLC | Radiology | 1828 E. Florence Blvd Bldg B Ste 118 & 128, Suite 118 and 128, Casa Grande, AZ 85122 | 2019-08-14 |
| 1629532692 | Kirk Lee Mackley | Physical Therapist | Vibrant Care, 1355 E Florence Blvd #137, Casa Grande, AZ 85122 | 2019-01-24 |
| 1205307436 | Natalie T Trujillo | Physician Assistant | 301 E Cottonwood Ln Ste 1&2, Casa Grande, AZ 85122 | 2018-12-16 |
| 1710455860 | Community Intervention Associates, Inc | Clinic/Center | 1667 N. Trekell Rd, Suite 101 & 102, Casa Grande, AZ 85122 | 2018-11-07 |
| 1245728302 | Jenkins Chiropractic LLC | Chiropractor | 1891 N Trekell Rd Ste 2, Casa Grande, AZ 85122 | 2018-04-24 |
| 1497242408 | Kelly Winnett | Naturopath | 1415 N Trekell Rd Ste 102, Casa Grande, AZ 85122 | 2018-04-16 |
| 1851895783 | Michael Brubaker Counseling | Community/Behavioral Health | 1927 N. Trekell Rd, Ste D, Casa Grande, AZ 85122 | 2018-03-23 |
| 1770095317 | Walmart Stores Inc. | Pharmacy | 1741 E. Florence Blvd, Casa Grande, AZ 85122 | 2017-11-03 |
| Find all providers in zip 85122 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285025023 | Casa Grande Health Associates Inc | Family Medicine | 3860 N. Pinal Avenue, Suite 3, Casa Grande, AZ 85122 | 2015-02-16 |
| 1346593894 | Analiah Mahinalani Patrice | Family Medicine | 1860 E Salk Dr Ste B1, Casa Grande, AZ 85122-5590 | 2012-10-22 |
| 1295085678 | Casa Grande Family Physicians PC | Family Medicine | 1760 E Florence Blvd Ste 260, Casa Grande, AZ 85122-4769 | 2012-09-13 |
| 1336349851 | Rodolfo Pina | Family Medicine | 301 E Cottonwood Ln Ste 1-2, Casa Grande, AZ 85122-2551 | 2007-07-23 |
| 1275606915 | William (bill) E Smith | Family Medicine | 7555 N Overfield Rd, Casa Grande, AZ 85194-9101 | 2006-11-17 |
| 1710067608 | Franklin Herok Baroi | Family Medicine | 7555 N Overfield Road, Casa Grande, AZ 85194 | 2006-10-16 |
| 1063515518 | Richard T Fleming | Family Medicine | 1683 E Florence Blvd, Suite #7 Nextcare Urgent Care, Casa Grande, AZ 85122-4812 | 2006-09-07 |
| 1568408516 | Claude Carl Fosdick IIi | Family Medicine | 301 E Cottonwood Lane, Casa Grande, AZ 85222 | 2006-06-20 |
| 1134163702 | Joel Braunstein | Family Medicine | 1811 E Mcmurray Blvd, Casa Grande, AZ 85122-5404 | 2006-06-15 |
| 1902361223 | Akos Live | Family Medicine | 1637 N Trekell Rd, Casa Grande, AZ 85122-2740 | 2019-01-31 |
| Find all providers in CASA GRANDE | ||||
| City | CASA GRANDE |
| Zip Code | 85122 |
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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.