BENJAMIN JAMES DUDDY (NPI# 1972009421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972009421 |
| Entity Type | Individual |
| Full Name | BENJAMIN JAMES DUDDY |
| Practice Address |
500 Fisher St Biloxi MS 39534-2502 |
| Mailing Address |
1313 Ne 46th Ter Kansas City MO 64116-1934 |
| Practice Telephone | 2283762273 |
| Mailing Telephone | 8162231180 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
500 FISHER ST |
| City | BILOXI |
| State | MS |
| Zip Code | 39534-2502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794324 | Ryan Abraham | Registered Nurse | 500 Fisher St, Biloxi, MS 39534-2502 | 2020-06-09 |
| 1528680899 | Ashley Christine Gutierrez Finn | Student in an Organized Health Care Education/Training Program | 500 Fisher St, Biloxi, MS 39534-2502 | 2020-05-10 |
| 1740801125 | Justen T Despain | Student in an Organized Health Care Education/Training Program | 500 Fisher St, Biloxi, MS 39534-2502 | 2020-04-27 |
| 1962022715 | Vito Maselli | Physician Assistant | 500 Fisher St, Biloxi, MS 39534-2502 | 2020-04-22 |
| 1023647419 | Mark Derasmo | Student in an Organized Health Care Education/Training Program | 500 Fisher St, Biloxi, MS 39534-2502 | 2020-04-07 |
| 1497383897 | Alexander Paul Ogden | Student in an Organized Health Care Education/Training Program | 500 Fisher St, Biloxi, MS 39534-2502 | 2020-03-31 |
| 1497301915 | Stevan Kai Henson | Student in an Organized Health Care Education/Training Program | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-08-12 |
| 1700438710 | Jacob Travis Burlew | Military Health Care Provider | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-07-10 |
| 1518525344 | Justin Douglas Charlantini | Student in an Organized Health Care Education/Training Program | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-06-05 |
| 1467019604 | Asia Sanders | Pharmacist | 500 Fisher St, Biloxi, MS 39534-2502 | 2019-05-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1437718756 | Marquise Westbrook | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-06-11 |
| 1124682729 | Joseph Paul Cervone | Student in an Organized Health Care Education/Training Program | 81 Mdss/gme 301 Fisher St, Rm 1g123, Keesler Afb, MS 39534 | 2019-04-29 |
| 1083120851 | Kaitlin May Gruenberg | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2017-12-15 |
| 1760912513 | Michael Zipper | Military Health Care Provider | 301 Fisher St, Rm 5a127, 81msgs/sgcq, Keesler Afb, MS 39534 | 2017-06-14 |
| 1184073181 | 81msgs/sgcq | General Acute Care Hospital | 81msgs/sgcq, 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-09 |
| 1174972772 | Usaf 81st Medical Group | Military Hospital | 81msgs/sgcq 301 Fisher St, Rm 5a127, Keesler Afb, MS 39534 | 2016-06-06 |
| 1548644677 | Jim Li | Dentist | 81st Medical Group, Keesler Afb, Apo, AA 39534 | 2015-07-18 |
| 1245610872 | Zachary Austin Masters | Surgery | 301 Fisher Street, Rm 5a127, Keesler Air Force Base, MS 39534 | 2015-06-09 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413974 | Katharine Bogard | Student in an Organized Health Care Education/Training Program | 2032 Tuilleries Cv, Biloxi, MS 39531-2423 | 2020-09-24 |
| 1831701036 | Cameron Thomas Beckham | Student in an Organized Health Care Education/Training Program | 238 Garfield Ave, Biloxi, MS 39531-3342 | 2020-08-19 |
| 1316568918 | Hanna Chang | Student in an Organized Health Care Education/Training Program | 81 Msgs/gme (keesler Afb), 301 Fisher St, Rm 5a127, Biloxi, MS 39534 | 2020-05-05 |
| 1720617079 | Briana Polk | Student in an Organized Health Care Education/Training Program | Keesler Air Force Base, 301 Fisher Street, Biloxi, MS 39534 | 2020-04-07 |
| 1184254682 | Cynthia Nguyen | Student in an Organized Health Care Education/Training Program | 15409 Glen Dr, Biloxi, MS 39532-7337 | 2020-01-23 |
| 1235783622 | Luis Fernando Valdivia Montoya | Student in an Organized Health Care Education/Training Program | 282 Big Lake Rd Apt 59, Biloxi, MS 39531-3708 | 2019-07-24 |
| 1831686005 | Bentley Howard Massey II | Student in an Organized Health Care Education/Training Program | 151 Grande View Dr Apt 221, Biloxi, MS 39531-4738 | 2018-04-13 |
| 1568830453 | Garrett Reilly | Student in an Organized Health Care Education/Training Program | 202 Curtiss Dr, Biloxi, MS 39531-6120 | 2015-09-09 |
| 1891307096 | Allison Kathleen Rita Hauge | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
| 1417569625 | Ryan Woolfe | Student in an Organized Health Care Education/Training Program | 301 Fisher St, Biloxi, MS 39534-2508 | 2020-08-19 |
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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.