SARA AILEEN DUDLEY (NPI# 1043589880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043589880 |
| Entity Type | Individual |
| Full Name | SARA AILEEN DUDLEY |
| Other Name | SARA AILEEN MADANIKIA |
| Credential | M.D. |
| Practice Address |
875 Blake Wilbur Drive Cc-g222 Stanford CA 94305-5847 |
| Practice Telephone | 6507247673 |
| Practice Fax Number | 6507258231 |
| Mailing Telephone | 6507247673 |
| Mailing Fax Number | 6507258231 |
| Enumeration Date | 2011-12-23 |
| Last Update Date | 2014-06-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770004731 | Sara Jean Dudley | Case Manager/Care Coordinator | 500 Hancock St, Saginaw, MI 48602-4224 | 2017-06-29 |
| Street Address |
875 BLAKE WILBUR DRIVE CC-G222 |
| City | STANFORD |
| State | CA |
| Zip Code | 94305-5847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932135290 | Melinda L Telli | Internal Medicine | 875 Blake Wilbur Drive, Mc 5820, Stanford, CA 94305 | 2006-06-25 |
| 1659829059 | Michelle S. Gonzales | Nurse Practitioner | 875 Blake Wilbur Drive, Cc-1314, Stanford, CA 94305 | 2016-09-14 |
| 1831569391 | Misty Mahaffey | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2015-09-28 |
| 1104200575 | Vinay Thomas Fernandes | Otolaryngology | 875 Blake Wilbur Drive, Cc-2226a, Stanford, CA 94305 | 2015-07-16 |
| 1780006916 | Gregory Smith Moran | Nurse Practitioner | 875 Blake Wilbur Drive, Clinic E, Stanford, CA 94305 | 2014-01-07 |
| 1407193386 | Jessie Denise Coty | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305-5820 | 2013-01-11 |
| 1568766442 | Siok-hian Tay-kelley | Nurse Practitioner | 875 Blake Wilbur Drive, Gastrointestinal Oncology Stanford Cancer Center, Stanford, CA 94305-2205 | 2011-01-06 |
| 1083918445 | Maricris Bertolano Dacumos | Nurse Practitioner | 875 Blake Wilbur Drive, Stanford, CA 94305 | 2010-12-28 |
| 1164737318 | Scott Victor Bratman | Radiology | 875 Blake Wilbur Drive, Stanford Cancer Center, Stanford, CA 94305-5847 | 2010-08-12 |
| 1609189687 | Stanford University | General Acute Care Hospital | 875 Blake Wilbur Drive, Stanford, CA 94305-5847 | 2010-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092126 | Meilin Liang | Physician Assistant | 300 Pasteur Rd, Rm H0101, Stanford, CA 94305 | 2020-07-31 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1760046916 | Jennifer M Piselli | Physician Assistant | 300 Pasteur Drive Rm A345, 3rd Floor, Stanford, CA 94305 | 2019-04-23 |
| 1912482365 | Martin Nikolaus Stienen | Neurological Surgery | Department of Neurosurgery,stanford University Hospital, 300 Pasteur Drive, Edwards Bldg., Rm R209, Stanford, CA 94305 | 2018-10-02 |
| 1043797434 | Natalie Lynn Dykzeul | Genetic Counselor, MS | 300 Pasteur Drive H315, Stanford, CA 94305 | 2018-07-27 |
| 1144727223 | Kingsley Anuoluwapo Oladeji | Student in an Organized Health Care Education/Training Program | Stanford Health Care Dept. of Gme, 300 Pasteur Drive, Palo Alto, CA 94305 | 2018-04-06 |
| 1437675402 | Abhinav Sharma | Internal Medicine | 300 Pasteur Lane, Falk Building, Palo Alto, CA 94305 | 2017-08-21 |
| 1194258491 | Silvia Paola Russo | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H3144, Palo Alto, CA 94305 | 2017-04-04 |
| 1649629155 | Jason Ross | Student in an Organized Health Care Education/Training Program | Stanford University School of Medicine Stanford Cancer, 875 Blake Wilbur Drive, Stanford, CA 94305 | 2016-06-06 |
| 1588010235 | Brian Dang | Pharmacist | 500 Pasteur Drive Room J010, Stanford, CA 94305 | 2016-05-12 |
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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 |
|---|---|---|---|---|
| 1679184410 | Taylor Faulkner | Student in an Organized Health Care Education/Training Program | 2477 Ky Highway 1194, Stanford, KY 40484-8222 | 2020-08-14 |
| 1467078253 | Sachindra Rayamajhi | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # Mc5633, Stanford, CA 94305-2200 | 2020-06-18 |
| 1356962484 | Shuo Cai | Student in an Organized Health Care Education/Training Program | 300 Pasteur Drive Stanford University School of Medici, Lane Building, Stanford, CA 94305 | 2020-04-29 |
| 1104445436 | Ravali Annam Reddy | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr, Hg332, Stanford, CA 94305-5317 | 2020-04-16 |
| 1801415161 | Mohammed Rehman Hayat | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # H0342, Stanford, CA 94305-2200 | 2020-04-15 |
| 1912526450 | Michael Timothy Scott | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # S287, Stanford, CA 94305-2200 | 2020-04-14 |
| 1902434244 | Adam Tanaka | Student in an Organized Health Care Education/Training Program | 300 Pasteur Dr # 3591, Stanford, CA 94305-2200 | 2020-03-31 |
| 1184251373 | Victor Manuel Contreras | Student in an Organized Health Care Education/Training Program | 35 Angell Ct, Stanford, CA 94305-7144 | 2020-03-26 |
| 1548894355 | Karen Rosanna Sheehan | Student in an Organized Health Care Education/Training Program | Stanford Hospital and Clinics, 300 Pasteur Drive, Rm H3589, Stanford, CA 94305-5640 | 2020-03-02 |
| 1831722131 | Bina Wasunga Kakusa | Student in an Organized Health Care Education/Training Program | 265 Campus Dr # G1021, Stanford, CA 94305-5101 | 2020-02-15 |
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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.