MR. GREGORY HUDSON (NPI# 1245234277) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245234277 |
| Entity Type | Individual |
| Full Name | MR. GREGORY HUDSON |
| Credential | MD |
| Practice Address |
137 State Route 3117 South Shore KY 41175-9597 |
| Practice Telephone | 6069322079 |
| Practice Fax Number | 6069322313 |
| Mailing Telephone | 6069322079 |
| Mailing Fax Number | 6069322313 |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2018-05-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25242 | KY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 35061298 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0816415 | 05 | |
| KY | KY MEDICAID | 64252422 | 01 |
| KY | 7100373950 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407357031 | Gregory L Hudson | Homemaker | 3680 Grant Dr Ste L, Reno, NV 89509-5350 | 2018-02-28 |
| 1871048355 | Gregory Robert Hudson | Nurse Practitioner | 10510 Gravelly Lake Dr Sw, Lakewood, WA 98499-5036 | 2016-08-24 |
| 1992768998 | Gregory Lee Hudson | Internal Medicine | 211 Virginia Rd, Edenton, NC 27932-9668 | 2006-04-10 |
| Street Address |
137 STATE ROUTE 3117 |
| City | SOUTH SHORE |
| State | KY |
| Zip Code | 41175-9597 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376805143 | Rachel M Hudson | Nurse Practitioner | 137 State Route 3117, South Shore, KY 41175-9597 | 2012-06-08 |
| 1518270859 | Bellefonte Physician Services, Inc. | Physician Assistant | 137 State Route 3117, South Shore, KY 41175-9597 | 2010-07-15 |
| 1750600870 | William Andrew Ruggles | Nurse Practitioner | 137 State Route 3117, South Shore, KY 41175 | 2010-05-28 |
| 1952476335 | Gregory Hudson Md Inc | Physician Assistant | 137 State Route 3117, South Shore, KY 41175 | 2006-11-21 |
| 1134123177 | Steven Edward Keys | Pediatrics | 137 State Route 3117, South Shore, KY 41175 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003387523 | Karen Palmer | Home Health Aide | 72 Kingsway Drive, South Shore, KY 41175 | 2018-12-10 |
| 1962775569 | Greenup County Health Dept | Public Health or Welfare | 425 James Hannah Drive, Suite 2, South Shore, KY 41175 | 2012-02-14 |
| 1891083036 | Lewis County Primary Care Center, Inc. | Clinic/Center | 142 Depot Street, South Shore, KY 41175 | 2011-07-20 |
| 1740435445 | Bellefonte Physician Services, Inc. | Internal Medicine | Us 23 At Indianola Ave., South Shore, KY 41175 | 2008-11-21 |
| 1386893840 | Zachary Duane Underwood | Family Medicine | Us 23 At Indianola Ave, South Shore, KY 41175 | 2008-09-09 |
| 1548471659 | Amber Blanton-mccalvin Chiropractic, Inc. | Chiropractor | 28350 U.S. 23, South Shore, KY 41175 | 2007-05-24 |
| 1255494928 | Philip E Brown | Dentist | 126 Biggs Lane, South Shore, KY 41175 | 2006-12-18 |
| 1053498592 | Premier Therapy and Health Ctrs Inc | Clinic/Center | Halls Building Us 23, South Shore, KY 41175 | 2006-11-01 |
| 1144306150 | Wright Care Home Medical Supplies,inc. | Durable Medical Equipment & Medical Supplies | 74 Biggs Lane, South Shore, KY 41175 | 2006-10-31 |
| 1255416384 | Jerry Wayne Iery | Physician Assistant | 142 Depot Dr, South Shore, KY 41175 | 2006-10-26 |
| Find all providers in zip 41175 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134123177 | Steven Edward Keys | Pediatrics | 137 State Route 3117, South Shore, KY 41175 | 2005-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1598384745 | Breckinridge Health Clinic | Pediatrics | 203b Fairgrounds Rd, Hardinsburg, KY 40143-2585 | 2020-04-08 |
| 1811533433 | Grace Community Health Center, Inc. | Pediatrics | 120 N Commonwealth Ave Ste 123&4, Corbin, KY 40701-6472 | 2019-11-19 |
| 1558827774 | August Pediatrics, LLC | Pediatrics | 123 N 19th St Ste 302, Middlesboro, KY 40965 | 2019-02-12 |
| 1306316989 | Jacquee L Mcnear | Pediatrics | 801 Barret Avenue Suite 314, Louisville, KY 40204-1701 | 2018-11-27 |
| 1477059657 | Advanced Care Pediatric Centre Pllc | Pediatrics | 1000 E Lexington Ave Ste 31, Danville, KY 40422-1707 | 2018-04-05 |
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1396286407 | Alvarado Medical Services Pllc | Pediatrics | 25 E Hickman St, Winchester, KY 40391-2448 | 2017-03-09 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH SHORE |
| Zip Code | 41175 |
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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.