DR. DAVID DUANE UDEHN (NPI# 1548256910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548256910 |
| Entity Type | Individual |
| Full Name | DR. DAVID DUANE UDEHN |
| Credential | M.D. |
| Practice Address |
800 Cooper Ave Suite 8 Saginaw MI 48602-5394 |
| Mailing Address |
1447 N Harrison St Saginaw MI 48602-4727 |
| Practice Telephone | 9897521177 |
| Practice Fax Number | 9897522923 |
| Mailing Telephone | 9897521177 |
| Mailing Fax Number | 9897522923 |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2014-06-20 |
| NPI Deactivation Date | 03/24/2006 |
| NPI Reactivation Date | 2006-03-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 4301095933 | MI | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 036063883 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036063883 | 05 | |
| MI | 1548256910 | 05 | |
| IL | RAILROAD MEDICARE | DD6333 | 01 |
| IL | BLUE CROSS BLUE SHIELD | 08132080 | 01 |
| Street Address |
800 COOPER AVE SUITE 8 |
| City | SAGINAW |
| State | MI |
| Zip Code | 48602-5394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619976305 | Daniel J Wechter | Specialist | 800 Cooper Ave, Ste 7, Saginaw, MI 48602-5394 | 2005-07-15 |
| 1801247200 | Jared R Weir, Md, Pllc | Orthopaedic Surgery | 800 Cooper Ave, Suite 12, Saginaw, MI 48602-5394 | 2016-06-27 |
| 1598175168 | Marc Evan Thompson | Physician Assistant | 800 Cooper Ave, Saginaw, MI 48602-5394 | 2014-05-05 |
| 1710260443 | Aimin Zhang | Preventive Medicine | 800 Cooper Ave, Saginaw, MI 48602-5394 | 2011-09-20 |
| 1346535655 | Jared R Weir | Orthopaedic Surgery | 800 Cooper Ave, Suite 12, Saginaw, MI 48602 | 2011-06-15 |
| 1346553781 | Victor Henry-loch Gordon | Internal Medicine | 800 Cooper Ave, Suite 4, Saginaw, MI 48602-5394 | 2010-07-14 |
| 1447562236 | David Donald Gill Jr. | Psychiatry & Neurology | 800 Cooper Ave, Suite 11, Saginaw, MI 48602-5394 | 2010-07-08 |
| 1538335351 | Daniel J Wechter Md PC | Specialist | 800 Cooper Ave, Suite 7, Saginaw, MI 48602 | 2008-05-01 |
| 1891960951 | Radha Cherukuri Md PC | Specialist | 800 Cooper Ave, Suite 7, Saginaw, MI 48602-5394 | 2008-04-29 |
| 1770754582 | Thomas H. Beird, M.d., PC | Plastic Surgery | 800 Cooper Ave, Suite 1, Saginaw, MI 48602-5394 | 2008-03-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326665654 | Samuel R Olson | Student in an Organized Health Care Education/Training Program | Covenent Healthcare Cooper, 700 Cooper Avenue, Saginaw, MI 48602 | 2020-07-02 |
| 1871110726 | Quinn Murphy Ameel | Student in an Organized Health Care Education/Training Program | Cmed 1632 Stone St., Saginaw, MI 48602 | 2020-06-26 |
| 1730713322 | Abiola A Alaka | Student in an Organized Health Care Education/Training Program | 314 N Hamilton St, Saginaw, MI 48602 | 2020-02-24 |
| 1598235137 | Summer Dawn Broekhof | Speech-Language Pathologist | 515 N. Michigan, Saginaw, MI 48602 | 2018-11-27 |
| 1811486293 | Barbara Jean Hall | Physical Therapy Assistant | 500 S Hamilton, Saginaw, MI 48602 | 2018-05-01 |
| 1053808519 | Cst Counseling and Transitional Services Inc | Social Worker | 120 N Michigan Ave Ste 207, Saginaw, MI 48602 | 2018-04-19 |
| 1801325246 | Moregan Rose Lamarr | Social Worker | 304 South Niagara St, Saginaw, MI 48602 | 2017-06-08 |
| 1750818449 | Tamera Graham | Nurse Practitioner | 1447 N. Harrison St., Saginaw, MI 48602 | 2017-05-12 |
| 1831622109 | Brooke Vitale | Technician, Other | 1300 N. Michigan, Autism Plus, Saginaw, MI 48602 | 2017-04-04 |
| 1215387576 | Dorthia Eggleston | Specialist | 1203 Gratiot, Saginaw, MI 48602 | 2016-06-17 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235558990 | Mirjon Bishja | Neurological Surgery | 800 Cooper Ave Ste 11, Saginaw, MI 48602-5373 | 2014-04-09 |
| 1699712273 | Erich Oscar Richter | Neurological Surgery | 800 Cooper Ave Ste 8, Saginaw, MI 48602-5373 | 2006-06-01 |
| 1871584011 | Gerald R Schell | Neurological Surgery | 3160 Cabaret Trl S, Saginaw, MI 48603-2202 | 2005-11-04 |
| 1619968856 | E Malcolm Field | Neurological Surgery | 4677 Towne Centre Rd, Suite 301, Saginaw, MI 48604-2846 | 2005-11-04 |
| 1891152690 | Michigan Neurocare Pllc | Neurological Surgery | 3170 Hallmark Ct, Saginaw, MI 48603-2107 | 2016-01-25 |
| 1285974014 | Ascension St. Mary's Hospital | Neurological Surgery | 4677 Towne Centre Rd Ste 301, Saginaw, MI 48604 | 2013-02-14 |
| 1417291121 | Michigan Spine and Brain Institute PC | Neurological Surgery | 5400 Mackinaw Rd, Ste 2300, Saginaw, MI 48604-9515 | 2012-11-19 |
| 1144509274 | Eric Nicholas Bialaski | Neurological Surgery | 4677 Towne Centre Rd Ste 301, Saginaw, MI 48604-2848 | 2011-08-07 |
| 1871785287 | Nnenna Mbabuike | Neurological Surgery | 4677 Towne Centre Rd Ste 301, Saginaw, MI 48604-2848 | 2007-08-10 |
| 1427135078 | Mark Charles Lester | Neurological Surgery | 800 S Washington Ave, Saginaw, MI 48601-2551 | 2006-11-01 |
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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.