JOHN J DUDA (NPI# 1205140209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205140209 |
| Entity Type | Individual |
| Full Name | JOHN J DUDA |
| Credential | PHD |
| Practice Address |
1070 Old National Pike Fredericktown PA 15333-2114 |
| Practice Telephone | 7246326801 |
| Practice Fax Number | 7246326312 |
| Mailing Telephone | 7246326801 |
| Mailing Fax Number | 7246326312 |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
Technologists, Technicians & Other Technical Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1007288440027 | 05 | |
| PA | HIGHMARK BC/BS | 398174 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225178122 | John R Duda | Emergency Medicine | 3500 Arendell St, Morehead City, NC 28557-2901 | 2007-02-08 |
| 1639256225 | John S. Duda | Dentist | 2800 Niles Rd, Saint Joseph, MI 49085-3317 | 2006-11-01 |
| 1932112919 | John Eric Duda | Psychiatry & Neurology | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-08-14 |
| 1447262399 | John J Duda Jr. | Radiology | 717 E Pittsburgh St, Greensburg, PA 15601-2636 | 2006-08-12 |
| 1497765101 | John Thomas Duda | Counselor | 1838 El Camino Real, 203, Burlingame, CA 94010-3126 | 2006-08-08 |
| 1588690556 | John R Duda | Specialist | 60 Township Line Rd, Elkins Park, PA 19027-2220 | 2006-06-23 |
| 1386681856 | John Edwar Duda | Dentist | 21851 Center Ridge Rd, Suite 311, Rocky River, OH 44116-3976 | 2006-06-01 |
| Street Address |
1070 OLD NATIONAL PIKE |
| City | FREDERICKTOWN |
| State | PA |
| Zip Code | 15333-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023009198 | Yong Dae Cho | Family Medicine | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2005-10-28 |
| 1689286999 | Christina Lombard | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-08-18 |
| 1699301721 | Janet Lynn Geramita | Dental Hygienist | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2020-03-20 |
| 1912543422 | Daniel Ryan Hinderliter | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-11-19 |
| 1073163689 | Maryann Fee | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-09-16 |
| 1790247732 | Cassie Davis | Counselor | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-04-01 |
| 1891251625 | Amber Marie Prebeg | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2019-02-17 |
| 1538637517 | Amy Florence | Social Worker | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-11-07 |
| 1003397365 | Alexandria Marie Bakos | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-08-24 |
| 1417434358 | Gary Butler II | Nurse Practitioner | 1070 Old National Pike, Fredericktown, PA 15333-2114 | 2018-07-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760968853 | Centerville Clinics Inc | Social Worker | Beth Center Middle School, 136 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1871079962 | Centerville Clinics Inc | Social Worker | Beth Center Elementary School, 194 Crawford Road, Fredericktown, PA 15333 | 2018-07-12 |
| 1235181124 | James William Davis IIi | Dentist | 1070 Old National Pike Road, Fredericktown, PA 15333 | 2006-05-17 |
| 1336126937 | Marsha Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2005-12-27 |
| 1881878361 | Marsha Lee Lawrence | Eyewear Supplier (Equipment, not the service) | 525 Front St, Fredericktown, PA 15333 | 2007-12-20 |
| 1164600995 | Centerville Clinics, Inc. | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2008-02-04 |
| 1720339393 | Centervillle Clinics, Inc | Specialist | 179 Crawford Rd, Fredericktown, PA 15333-2011 | 2012-09-24 |
| 1073656559 | Bethlehem-center School District | Local Education Agency (LEA) | 194 Crawford Rd, Fredericktown, PA 15333-2012 | 2007-02-15 |
| 1699249508 | Scott Robert Hargraves | Physical Therapist | 205 Ridgewood Dr, Fredericktown, PA 15333-2020 | 2019-01-14 |
| 1902861925 | Michelle Renee Stepp | Chiropractor | 3317 Route 40, Fredericktown, PA 15333-2111 | 2006-04-20 |
| Find all providers in zip 15333 | ||||
| Taxonomy Code | 247ZC0005X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Pathology |
| Specialization | Clinical Laboratory Director, Non-physician |
| An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. |
| Notes: Source: National Uniform Claim Committee [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909743 | David Robbins | Pathology | 2200 Renaissance Blvd Ste 100, King of Prussia, PA 19406-2755 | 2020-07-07 |
| 1396356572 | Mustafa Ahmed Barbhuiya | Pathology | 500 University Dr, Hershey, PA 17033-2360 | 2020-08-12 |
| City | FREDERICKTOWN |
| Zip Code | 15333 |
Please comment or provide details below to improve the information on JOHN J DUDA.
| 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.