DR. SAMUEL WASHINGTON DUDLEY III (NPI# 1669478459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669478459 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL WASHINGTON DUDLEY III |
| Credential | M.D. |
| Practice Address |
700 Children's Drive Columbus OH 43205-2664 |
| Practice Telephone | 6147224554 |
| Practice Fax Number | 6147224565 |
| Mailing Telephone | 6147224554 |
| Mailing Fax Number | 6147224565 |
| Enumeration Date | 2005-06-26 |
| Last Update Date | 2020-03-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 35079310 | OH | Allopathic & Osteopathic Physicians |
| N | 2080P0008X |
Pediatrics Specialization: Neurodevelopmental Disabilities |
35079310 | OH | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 35079310 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0116931 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 444 Butterly Gardens Drive, Columbus, OH 432157508 | 6147222000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548793425 | Samuel Ranche Dudley | Student in an Organized Health Care Education/Training Program | University of Tennessee 920 Madison Ave, Suite 447, Memphis, TN 38163-0001 | 2017-04-06 |
| 1568575173 | Samuel Calvert Dudley Jr. | Internal Medicine | 2450 Riverside Ave, Minneapolis, MN 55454-1450 | 2006-08-16 |
| Street Address |
700 CHILDREN'S DRIVE |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831192947 | Edwin M Horwitz | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2005-05-23 |
| 1124640081 | Emily Wells | Nurse Practitioner | 700 Children's Drive, Medical Staff Office (ross Hall), Columbus, OH 43205 | 2020-05-14 |
| 1891320966 | Kristin Sweeney | Student in an Organized Health Care Education/Training Program | 700 Children's Drive, La Suite 5a, Columbus, OH 43205 | 2020-03-09 |
| 1982247813 | Bethany L Walker | Psychologist | 700 Children's Drive, Department of Psychology, Columbus, OH 43205 | 2019-10-23 |
| 1720620941 | Chaitali Amin | Nurse Practitioner | 700 Children's Drive, Columbus, OH 43205-2664 | 2019-10-09 |
| 1649829409 | Megan Schaefer | Student in an Organized Health Care Education/Training Program | 700 Children's Drive, Department of Psychology, Columbus, OH 43205 | 2019-09-05 |
| 1942855754 | Camille Wilson | Psychologist | 700 Children's Drive, Psychology Department, Columbus, OH 43205 | 2019-08-08 |
| 1427616937 | Hillary Jackson | Audiologist | 700 Children's Drive, Outpatient Care Center Suite 2b, Columbus, OH 43205 | 2019-05-30 |
| 1659830677 | Kelsey Mozdzierz | Counselor | 700 Children's Drive, Columbus, OH 43205-2664 | 2019-03-19 |
| 1174081251 | Misa Lynn Yoshioka | Dentist | 700 Children's Drive, Columbus, OH 43205 | 2019-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528399441 | Hospitalists Nationwide | Hospitalist | 30 Belmont Circle, Columbus, NJ 08022-9714 | 2010-01-15 |
| 1821110693 | Ashita Sinha | Hospitalist | 793 W.state St., Mount Carmel Hospital ( Columbus Inpatient Care Group), Columbus, OH 43222 | 2007-04-04 |
| 1497856280 | Xiuqiong Wang | Hospitalist | 3525 Olentangy River Road, Suite 4330, Columbus, OH 43214 | 2006-09-26 |
| 1700860095 | Nicholas G Parkinson | Hospitalist | 111 S Grant Av, Hospital Medical Sevices, Columbus, OH 43215 | 2005-12-01 |
| 1215442173 | Benning Hospitalist Services, LLC | Hospitalist | 100 Frist Ct, Columbus, GA 31909-3578 | 2017-12-13 |
| 1639681851 | Muscogee Hospitalist Services, LLC | Hospitalist | 710 Center St, Columbus, GA 31901-1527 | 2017-10-27 |
| 1770008955 | Annumeet Anna Sandhu | Hospitalist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2017-08-08 |
| 1699297713 | Alexander S. Manguba Jr. | Hospitalist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2017-07-11 |
| 1326568056 | Yusif Mohammed | Hospitalist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2017-06-23 |
| 1326568387 | Bethany Sistine Gargon | Hospitalist | 290 E Town St, Columbus, OH 43215-4602 | 2017-06-21 |
| Find all providers in COLUMBUS | ||||
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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.