DR. SCOTT PAUL CUDA (NPI# 1063525723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1063525723 |
Entity Type | Individual |
Full Name | DR. SCOTT PAUL CUDA |
Credential | M.D. |
Practice Address |
Madigan Army Medical Center 9040 Jackson Avenu Tacoma WA 98431-7282 |
Mailing Address |
Madigan Army Medical Center Bldg 9040a Tacoma WA 98431-0001 |
Practice Telephone | 2539682300 |
Mailing Telephone | 2539682300 |
Mailing Fax Number | 2539682895 |
Enumeration Date | 2006-08-16 |
Last Update Date | 2019-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 208800000X | Urology | 13103 | HI | Allopathic & Osteopathic Physicians |
Y | 2088P0231X |
Urology Specialization: Pediatric Urology |
60212116 | WA | Allopathic & Osteopathic Physicians |
N | 2088P0231X |
Urology Specialization: Pediatric Urology |
062671 | GA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 221411831A | 05 | |
DEA | FC1505784 | 01 |
Street Address |
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVENU |
City | TACOMA |
State | WA |
Zip Code | 98431-7282 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
Find all providers in zip 98431 |
Taxonomy Code | 2088P0231X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Urology |
Specialization | Pediatric Urology |
Surgeons who can diagnose, treat, and manage children’s urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). |
Notes: Source: American Academy of Pediatrics [7/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669898201 | Kevin K. Gandhi, M.d., Pllc | Urology | 1530 S Union Ave Ste 5, Tacoma, WA 98405-1954 | 2014-03-06 |
1194848317 | Kevin K Gandhi | Urology | 1530 S Union Ave, Suite 5, Tacoma, WA 98405-1954 | 2007-04-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710184494 | Dimitri Kuznetsov, M.d. Pllc | Urology | 1274 7th St Ste B, Port Townsend, WA 98368-2404 | 2007-06-27 |
1447576137 | Providence Physician Services Co | Urology | 315 W 9th Ave, Ste 200, Spokane, WA 99204-2501 | 2010-04-20 |
1992931281 | Jennifer Ahn | Urology | 4800 Sand Point Way Ne, Oa.9.220, Seattle, WA 98105-3901 | 2009-06-01 |
1356506331 | Jose Nicolas Fernandez Bonilla | Urology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2008-07-19 |
1932302163 | Bertram Joseph Levy | Urology | 834 Sheridan St, Port Townsend, WA 98368-2443 | 2007-06-06 |
1417038779 | Thomas S. Lendvay | Urology | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2006-10-17 |
1467546796 | Martin A. Koyle | Urology | 4800 Sand Point Way Ne, Division of Urology W7729, Seattle, WA 98105-3901 | 2006-10-03 |
1912993320 | Mark P Cain | Urology | 1959 Ne Pacific St, Seattle, WA 98195-5128 | 2005-09-21 |
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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.