MITCHELL R UDY (NPI# 1134174543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134174543 |
| Entity Type | Individual |
| Full Name | MITCHELL R UDY |
| Practice Address |
274 N Main St Logan UT 84321-3915 |
| Practice Telephone | 4357531600 |
| Practice Fax Number | 4357539521 |
| Mailing Telephone | 4357531600 |
| Mailing Fax Number | 4357539521 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 5774881-4101 | UT | Speech, Language and Hearing Service Providers |
| Street Address |
274 N MAIN ST |
| City | LOGAN |
| State | UT |
| Zip Code | 84321-3915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790788503 | James T Malouf | Orthopaedic Surgery | 274 N Main St, Logan, UT 84321-3915 | 2005-05-24 |
| 1184067373 | Joshua Tyler Christiansen | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2013-04-08 |
| 1376894022 | Dynamic Communication | Speech-Language Pathologist | 274 N Main St, Logan, UT 84321-3915 | 2012-09-20 |
| 1649407172 | Michael J Austin | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2009-06-10 |
| 1730379322 | Darren V Anderson | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2007-07-30 |
| 1235232646 | Edwin Marlowe Goble | Orthopaedic Surgery | 274 N Main St, Logan, UT 84321-3915 | 2006-09-07 |
| 1841214483 | Interwest Anesthesia Associates LLC | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2006-07-27 |
| 1336162924 | Wesley S Mortensen | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2006-07-25 |
| 1104852599 | Vikas Garg | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2006-06-25 |
| 1033169198 | Peter C Daines | Anesthesiology | 274 N Main St, Logan, UT 84321-3915 | 2006-05-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265074157 | Grant E Severe | Pharmacist | 175 E 442 N, Logan, UT 84321 | 2019-10-11 |
| 1437712585 | Gregory Scott Hansen | Pharmacist | 412 East 200 North, Logan, UT 84321 | 2019-04-15 |
| 1043701584 | Mckell Peidl | Behavior Technician | 240 E 400 N Apt 8, Logan, UT 84321 | 2018-05-21 |
| 1801331194 | Eric Dutson | Speech-Language Pathologist | 964 W 2880 S, Nibley, UT 84321 | 2016-12-22 |
| 1063805299 | Krystal Cox | Marriage & Family Therapist | 493 North 700 East, Logan, UT 84321 | 2015-03-12 |
| 1013340801 | Carly D. L. Lebaron | Marriage & Family Therapist | 95 W. 100 S., Suite 360, Logan, UT 84321 | 2013-08-15 |
| 1669710471 | Brandon Bailey | Counselor | 1465 N. 300 W., Ste. A, Brigham, UT 84321 | 2013-01-29 |
| 1871843086 | Brandi Lee Richins | Social Worker | 90 E. 200 N., Logan, UT 84321 | 2012-09-14 |
| 1922356732 | Stacy Lynn Hamilton Jones | Marriage & Family Therapist | 60 East Center Street, Suite 205, Keystone Family Solutions, Logan, UT 84321 | 2012-08-28 |
| 1992002455 | Robert Thomas Allred | Chiropractor | 944 South Highway 89/91, Logan, UT 84321 | 2011-02-18 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841743515 | Kali Leanne Markle | Audiologist | 2620 Old Main Hl, Logan, UT 84322 | 2016-07-29 |
| 1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
| 1225221609 | John E. Ribera | Audiologist | Dept of Communicative Disorders and Deaf Education, 1000 Old Main Hill, Logan, UT 84322-1000 | 2007-08-20 |
| 1053518563 | Heather Jo Jensen | Audiologist | Usu Hearing Clinic, 1000 Old Main Hill, Logan, UT 84322-1000 | 2007-06-28 |
| 1649475633 | Amy Ann Porter | Audiologist | 6410 Old Main Hl, Logan, UT 84322-6410 | 2007-06-19 |
| 1235350554 | Vernon Nathaniel Mullins | Audiologist | 301 Stratton St, Logan, WV 25601-3911 | 2007-05-02 |
| 1124193347 | Logan Audiology & Hearing Aid Center Inc | Audiologist | 301 Stratton Street, Logan, WV 25601-3511 | 2006-11-22 |
| 1811078124 | Karen Frances Munoz | Audiologist | 2620 Old Main Hill, Northern Illinois Univ Speech-language-hearing Clinic, Logan, UT 84321 | 2006-10-17 |
| 1871509356 | Cache Laurence Pitt | Audiologist | 1000 Old Main Hl, Logan, UT 84322-1000 | 2006-08-01 |
| 1295372522 | Jeremy D Green | Audiologist | 293 S Main St, Logan, UT 84321-5203 | 2019-12-05 |
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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.