DR. THOMAS EDWARD DUDLEY (NPI# 1174727093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174727093 |
| Entity Type | Individual |
| Full Name | DR. THOMAS EDWARD DUDLEY |
| Credential | M.D. |
| Practice Address |
111 17th Ave E Ste 101 Alexandria MN 56308-3734 |
| Practice Telephone | 3207621144 |
| Practice Fax Number | 3207621935 |
| Mailing Telephone | 3207621144 |
| Mailing Fax Number | 3207621935 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2011-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 49706 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | FD0254944 | 01 | |
| MN | LICENSE | 49706 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629132634 | Thomas James Dudley | Dentist | N84w15959 Appleton Ave, Menomonee Falls, WI 53051-3044 | 2006-12-21 |
| 1861569949 | Thomas H Dudley | Chiropractor | 2320 S Carson St, #3, Carson City, NV 89701-4603 | 2006-11-30 |
| 1518951771 | Thomas H Dudley Jr. | Pathology | 500 Martha Jefferson Dr., Charlottesville, VA 22911 | 2005-09-02 |
| Street Address |
111 17TH AVE E STE 101 |
| City | ALEXANDRIA |
| State | MN |
| Zip Code | 56308-3734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164424305 | Douglas County Hospital | General Acute Care Hospital | 111 17th Ave E, Alexandria, MN 56308-3703 | 2005-06-01 |
| 1679047013 | Kayla Hughes | Nurse Anesthetist, Certified Registered | 111 17th Ave E, Alexandria, MN 56308-5273 | 2019-01-18 |
| 1750776530 | Benjamin Andrew Kitt | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2015-03-30 |
| 1760873491 | Amanda Kristine Nefstead | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2015-02-17 |
| 1558767483 | Samantha Bourcy | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2014-11-04 |
| 1083029490 | Amanda Leigh Knettel | Physical Therapist | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-06-24 |
| 1538573613 | Dane Jason Mitteness | Emergency Medicine | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-06-17 |
| 1013334572 | Meghan Ruhr | Registered Nurse | 111 17th Ave E, Alexandria, MN 56308-5273 | 2014-03-23 |
| 1598196149 | Heidi Stark | Specialist/Technologist | 111 17th Ave E, Suite 101, Alexandria, MN 56308-5273 | 2013-12-09 |
| 1396174330 | Michael James Kunstle | Physician Assistant | 111 17th Ave E, Suite 101, Alexandria, MN 56308-3734 | 2013-11-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104836 | Center for Pain Management Ambulatory Surgery, Ltd | Pain Medicine | 804 23rd Street South, Sartell, MN 56308 | 2020-08-13 |
| 1548815590 | Ritajo Ellenberger | Licensed Practical Nurse | 220 Oak Street North, Alexandria, MN 56308 | 2019-08-06 |
| 1346808714 | Vance Thompson Vision Surgery Center Alexandria, Prof LLC | Clinic/Center | 2600 Jefferson St, Alexandria, MN 56308 | 2019-05-31 |
| 1811452048 | Little Falls Eye Care Center Pa | Optometrist | 2306 S. Broadway Str. Suite 12, Alexandria, MN 56308 | 2019-02-01 |
| 1184167199 | Jennifer Lynn Craig | Technician | 2307 East Golf Course Rd, Alexandria, MN 56308 | 2016-11-22 |
| 1548712219 | Shelby Elisha Johnsrud | Chiropractor | 303 West 22nd Ave, Ste 100, Alexandria, MN 56308 | 2016-10-28 |
| 1811347867 | Dustin Matthew Ditch | Dentist | 510 22nd Ave E Ste 702, Alexandria, MN 56308 | 2016-06-20 |
| 1639538051 | West Central Chiropractic & Wellness, LLC | Chiropractor | 123 3rd Ave. E, Suite 100, Alexandria, MN 56308 | 2016-02-12 |
| 1659736221 | Amanda Jean Dahlseng | Registered Nurse | 809 Elm Street, Suite 1200, Alexandria, MN 56308 | 2015-12-23 |
| 1518358886 | Benjamin G Wenzel | Marriage & Family Therapist | 512 30th Ave S, Ste 100, Alexandria, MN 56308 | 2015-02-09 |
| Find all providers in zip 56308 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| 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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730636861 | Mid State Orthopaedics & Sports Medicine Center LLC | Orthopaedic Surgery | 224 Pecan Park, Suite F, Alexandria, LA 71302 | 2016-09-07 |
| 1437570975 | Joel Gregory Goldman | Orthopaedic Surgery | 2047 Blunt Lane, Alexandria, VA 22303 | 2013-12-31 |
| 1851658603 | Washington Orthopaedic Center LLC | Orthopaedic Surgery | 417 N Washington St, Alexandria, VA 22314-2311 | 2012-04-18 |
| 1306112743 | Daniel Philip Deasis | Orthopaedic Surgery | 201 4th St Ste 1d, Alexandria, LA 71301 | 2012-03-29 |
| 1235404252 | Cedric Warren Lowrey | Orthopaedic Surgery | 4506 Wellington Blvd, Alexandria, LA 71303-2513 | 2012-03-09 |
| 1649436254 | Craig Joseph Mcasey | Orthopaedic Surgery | 2501 Parkers Ln Ste 200, Alexandria, VA 22306-3209 | 2008-08-03 |
| 1013119007 | Terence James Kennedy | Orthopaedic Surgery | 733 W Latoka Dr Sw, Alexandria, MN 56308-9376 | 2007-06-03 |
| 1114063435 | Brian O Stephens | Orthopaedic Surgery | 106 N Lee St Ste 200, Alexandria, VA 22314 | 2007-01-30 |
| 1386667350 | Orthovirginia, Inc | Orthopaedic Surgery | 2805 Duke St, Alexandria, VA 22314-4512 | 2006-07-25 |
| 1821062670 | Michael Elden Brunet | Orthopaedic Surgery | 3351 Masonic Dr, Alexandria, LA 71301-3842 | 2006-02-16 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 56308 |
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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.