RUDY JEWAN JUDHAN (NPI# 1528299765) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528299765 |
| Entity Type | Individual |
| Full Name | RUDY JEWAN JUDHAN |
| Credential | MBBS |
| Practice Address |
911 Bypass Rd Pikeville KY 41501-1689 |
| Mailing Address |
Po Box 432 Pikeville KY 41502-0432 |
| Practice Telephone | 6062183500 |
| Mailing Telephone | 6062183500 |
| Enumeration Date | 2009-08-05 |
| Last Update Date | 2020-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
48764 | KY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 21769 | FL | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1220 Lee St E, Charleston, WV 253011863 | 3043887270 |
| Street Address |
911 BYPASS RD |
| City | PIKEVILLE |
| State | KY |
| Zip Code | 41501-1689 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356345045 | Trevor Jones | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2005-06-09 |
| 1134736564 | Matthew Gene Damron | Pharmacist | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2020-09-29 |
| 1164051090 | Keterah F Norman | Respiratory Therapist, Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2020-04-03 |
| 1144887951 | William Albert Ison | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-05-28 |
| 1598226045 | Joshua Adam Mullins | Family Medicine | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-03-27 |
| 1801360623 | Ryan Anthony Preston | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2019-01-15 |
| 1710486162 | Shylebra Lea Holbrook | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2018-02-12 |
| 1124530878 | Cynthia Acosta Pence | Nurse Practitioner | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-11-02 |
| 1598276552 | John Andrew Schultz | Nurse Anesthetist, Certified Registered | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-10-18 |
| 1053820555 | Samantha Boyd | Physician Assistant | 911 Bypass Rd, Pikeville, KY 41501-1689 | 2017-09-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720634 | Lauren Ann Thacker | Nurse Practitioner | 648 Stonehenge Drive, Pikeville, KY 41501 | 2020-11-03 |
| 1659933406 | Wesley Tyler Rowe | Pharmacist | 553 Hambley Boulevard, Suite 6, Pikeville, KY 41501 | 2019-07-02 |
| 1275096489 | Eric Taejun Kim | Student in an Organized Health Care Education/Training Program | 184 South Mayo Trail, Pikeville, KY 41501 | 2019-04-13 |
| 1245755206 | Paula Renee Belcher | Nurse Practitioner | 5724 E Shelbiana Road, Pikeville, KY 41501 | 2017-08-10 |
| 1174044390 | Jessie C Deffendall | Dentist | 220 Cassidy Blvd, Pikeville, KY 41501 | 2017-06-28 |
| 1942667456 | Crossroads Addiction Recovery Effort, LLC | Family Medicine | 484 Tollage Crk, Pikeville, KY 41501 | 2016-01-28 |
| 1265836183 | Rebecca Leann Roberts | Pharmacist | 259 Bear Rd, Pikeville, KY 41501 | 2014-10-21 |
| 1306253190 | Ginger Webb Aprn | Clinic/Center | 153 Weddington Branch Rd., Pikeville, KY 41501 | 2014-07-14 |
| 1710323894 | Bhg Xxv, LLC | Case Management | 368 South Mayo Trail, Pikeville, KY 41501 | 2013-05-16 |
| 1740624220 | Sunrise Children's Services, Inc. | Foster Care Agency | 123 Weddington Branch Road, Pikeville, KY 41501 | 2013-04-26 |
| Find all providers in zip 41501 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700156353 | University of Louisville Physicians | Surgery | 401 E Chestnut St Unit 710, Louisville, KY 40202-5707 | 2012-01-12 |
| 1780846592 | Joshua M Judge | Surgery | 800 Rose St, C224, Lexington, KY 40536-7001 | 2008-07-02 |
| 1962528067 | Graham Dean Englund | Surgery | 1698 Old Lebanon Rd, Suite 2a, Campbellsville, KY 42718-9662 | 2007-03-21 |
| 1922076728 | David G Changaris | Surgery | 801 Barret Ave, Suite 103, Louisville, KY 40204-1747 | 2006-03-09 |
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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.