ALBERT W. HUDSON (NPI# 1053391334) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053391334 |
| Entity Type | Individual |
| Full Name | ALBERT W. HUDSON |
| Credential | MD |
| Practice Address |
698 Featherstone Rd Rockford IL 61107-6303 |
| Practice Telephone | 8153983277 |
| Mailing Telephone | 8153983277 |
| Enumeration Date | 2006-01-20 |
| Last Update Date | 2015-01-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 55177 | WI | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
036045616 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036045616 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023651221 | Albert Clifford Hudson IIi | Behavior Technician | 2680 Folsom St, San Francisco, CA 94110-3326 | 2019-10-21 |
| 1932323011 | Albert Hugh Hudson | Dentist | 108 W Pope St, Sylvester, GA 31791-2030 | 2007-04-12 |
| 1467475772 | Albert Hudson | Internal Medicine | 4525 Cameron Valley Pkwy, Charlotte, NC 28211-4369 | 2006-07-26 |
| Street Address |
698 FEATHERSTONE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972595296 | Amy L Ailes Dinello | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2005-08-22 |
| 1285949800 | Syed Rafe Zaidi | Family Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2010-08-09 |
| 1154567964 | Leesa E Gillooley | Physician Assistant | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2008-12-29 |
| 1881889194 | Pedro Rodriguez | Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-10 |
| 1861687584 | Nipun Chhabra | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-09-06 |
| 1699968263 | Saint Anthony Medical Center | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-08-27 |
| 1124141825 | Terrence R Loughlin | Otolaryngology | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-09 |
| 1891817441 | Kavitha Subramanian | Internal Medicine | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-04-04 |
| 1497899009 | Dhaval M Patel | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2007-02-16 |
| 1790894897 | Sarah E Hagarty | Plastic Surgery | 698 Featherstone Rd, Rockford, IL 61107-6303 | 2006-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376866897 | Physicians Dermpath Laboratory | Dermatology | 1420 N. Renaissance Dr., Suite 204, Park Ridge, IL 60068-1330 | 2010-03-11 |
| 1417075961 | Asanee Lertsburapa | Dermatology | 708 Midwest Club Park Parkway, Oak Brook, IL 60523 | 2007-03-26 |
| 1861404279 | Nathaniel Morgan | Dermatology | 11157 S Halsted St, Chicago, IL 60628-3910 | 2006-08-13 |
| 1467476457 | Jeffrey Berti | Dermatology | 6825 Kingery Hwy, Willowbrook, IL 60527-5154 | 2006-07-26 |
| 1023040573 | Thomas L. Fisher, M.d., S.c. | Dermatology | 47 W Polk St Lbby G1, Chicago, IL 60605-2087 | 2006-07-07 |
| 1215902986 | George T Nahass | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2006-02-17 |
| 1467955179 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-03-09 |
| 1194225268 | United Skin Specialists Illinois Ltd, PC | Dermatology | 4107 S Water Tower Pl, Mount Vernon, IL 62864-6293 | 2018-02-15 |
| 1073041455 | Sepideh Asadbeigi | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2017-05-30 |
| 1548517949 | Michael Sidiropoulos | Dermatology | 676 N Saint Clair St Ste 1600, Chicago, IL 60611-2997 | 2012-08-06 |
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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.