CALVIN DUDLEY (NPI# 1972524619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972524619 |
| Entity Type | Individual |
| Full Name | CALVIN DUDLEY |
| Credential | M.D. |
| Practice Address |
3810 Masthead St Ne Albuquerque NM 87109-4479 |
| Practice Telephone | 5052433514 |
| Practice Fax Number | 5052433451 |
| Mailing Telephone | 5052433514 |
| Mailing Fax Number | 5052433451 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2009-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | 86-222 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | PRESBYTERIAN HEALTH PLAN | 201002646 | 01 |
| NM | 37689 | 05 | |
| NM | BCBS NEW MEXICO | NM010744 | 01 |
| Street Address |
3810 MASTHEAD ST NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4479 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437147899 | John Craig Eaves | Psychiatry & Neurology | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2005-10-10 |
| 1508093469 | Omnisleep LLC | Family Medicine | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2009-06-18 |
| 1366464851 | New Mexico Colon & Rectal Surgery Associates | Colon & Rectal Surgery | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2006-07-24 |
| 1164410528 | Omnisleep LLC | Psychiatry & Neurology | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2005-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932399516 | Rohini Nmi Mckee | Colon & Rectal Surgery | 2211 Lomas Ne, Msc 10-5610, Unm Department of Surgery, Albuquerque, NM 87131-0001 | 2007-07-30 |
| 1467665331 | Chitra Neela Sambasivan | Colon & Rectal Surgery | 201 Cedar St Se Ste 306, Albuquerque, NM 87106-4932 | 2007-05-08 |
| 1710900220 | William Armstrong Brown | Colon & Rectal Surgery | 8300 Constitution Ave Ne Bldg D, Albuquerque, NM 87110-7613 | 2006-07-25 |
| 1366464851 | New Mexico Colon & Rectal Surgery Associates | Colon & Rectal Surgery | 3810 Masthead St Ne, Albuquerque, NM 87109-4479 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295983195 | Salim Amrani | Colon & Rectal Surgery | 3917 West Rd Ste 250, Los Alamos, NM 87544-5302 | 2008-09-04 |
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on CALVIN DUDLEY.
| 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.