DR. GENE GUY TUDOR (NPI# 1053370536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053370536 |
| Entity Type | Individual |
| Full Name | DR. GENE GUY TUDOR |
| Credential | MD |
| Practice Address |
110 Hospital Rd Suite 204 Prince Frederick MD 20678-4019 |
| Mailing Address |
110 Hospital Road, Suite 204 Calvert Otolaryngology Prince Frederick MD 20678 |
| Practice Telephone | 4104147288 |
| Practice Fax Number | 4104147102 |
| Mailing Telephone | 4104147288 |
| Mailing Fax Number | 4104147102 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2013-01-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | D0066926 | MD | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 9501133 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BCBS | 83936 | 01 |
| NC | DEA | BT1769794 | 01 |
| NC | STATE LICENSE | 9501133 | 01 |
| NC | 8983936 | 05 | |
| MD | MD STATE LICENSE | D0066926 | 01 |
| Street Address |
110 HOSPITAL RD SUITE 204 |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296407 | Mara J Daidone | Otolaryngology | 110 Hospital Rd, Suite 304, Prince Frederick, MD 20678-4019 | 2005-06-28 |
| 1497381586 | Ashly Gray | Nurse Practitioner | 110 Hospital Rd, Prince Frederick, MD 20678-4019 | 2020-03-20 |
| 1619329653 | Sita M Pfalz | Nurse Practitioner | 110 Hospital Rd, Suite 214, Prince Frederick, MD 20678-4019 | 2016-07-01 |
| 1376936823 | Calvert Internal Medicine Group, Pa | Nurse Practitioner | 110 Hospital Rd, Suite 310, Prince Frederick, MD 20678-4019 | 2015-03-09 |
| 1528486255 | Dr. Saleh & Associates,llc | Psychologist | 110 Hospital Rd, 302, Prince Frederick, MD 20678-4019 | 2014-03-31 |
| 1700215431 | Samantha L Keiter | Physician Assistant | 110 Hospital Rd, Suite 310, Prince Frederick, MD 20678-4019 | 2013-11-04 |
| 1245668060 | Soffer Foot and Ankle Care, LLC | Clinic/Center | 110 Hospital Rd, Suite 215, Prince Frederick, MD 20678-4019 | 2013-10-15 |
| 1518303742 | Center for Continence and Pelvic Support PC | Obstetrics & Gynecology | 110 Hospital Rd, Ste 203, Prince Frederick, MD 20678-4019 | 2013-05-15 |
| 1144501008 | Kanayo Ekeada | Pharmacist | 110 Hospital Rd, Suite 100, Prince Frederick, MD 20678-4019 | 2011-09-06 |
| 1528361987 | Mukesh N Mathur,md,pa. | Internal Medicine | 110 Hospital Rd, Suite-305, Prince Frederick, MD 20678-4019 | 2010-12-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841296407 | Mara J Daidone | Otolaryngology | 110 Hospital Rd, Suite 304, Prince Frederick, MD 20678-4019 | 2005-06-28 |
| 1780854885 | Glenn G. Marinelli Md Pa | Otolaryngology | 205 Steeple Chase Dr, Suite 304, Prince Frederick, MD 20678-4053 | 2008-03-04 |
| 1215972815 | Chesapeake Otolaryngology Associates, LLC | Otolaryngology | 131 Main St, Ste 202, Prince Frederick, MD 20678-3336 | 2006-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194219899 | Hearing and Balance Centers of The Chesapeake LLC | Otolaryngology | 4000 Mitchellville Rd Ste A410, Bowie, MD 20716-3141 | 2018-06-18 |
| 1023539632 | Ent Allergy and Asthma Center PC | Otolaryngology | 11119 Rockville Pike Ste 207, North Bethesda, MD 20852-3143 | 2017-07-05 |
| 1770945917 | Michelle S Hwang | Otolaryngology | 600 N Caroline St, 6th Floor, Baltimore, MD 21205-1839 | 2016-03-27 |
| 1962817098 | Sunny Joseph Haft | Otolaryngology | James T. Frenkil Bldg, 16 S Eutaw Street, Suite 500, Baltimore, MD 21201-9000 | 2014-06-27 |
| 1790195485 | Total Ent Care LLC | Otolaryngology | 3333 N Calvert St Ste 680, Baltimore, MD 21218-6517 | 2014-05-02 |
| 1700206869 | Joseph Choi Park | Otolaryngology | 601 N Caroline St # Street6, Baltimore, MD 21287-0006 | 2014-04-16 |
| 1689091522 | Omar Gasudraz Ahmed | Otolaryngology | 601 N Caroline St Ste 6011, Baltimore, MD 21287-0006 | 2014-03-27 |
| 1871936112 | Deepa J Galaiya | Otolaryngology | 601 N Caroline St Ste 6, Baltimore, MD 21287-0006 | 2013-04-16 |
| 1225392558 | Nicholas Ray Rowan | Otolaryngology | 601 N Caroline St Ste 6161, Baltimore, MD 21287-0006 | 2012-07-02 |
| 1598034183 | Edward John Drawbaugh | Otolaryngology | 19004 Cherry Tree Dr, Hagerstown, MD 21742-2633 | 2011-12-28 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.