DR. EARL R JUDD (NPI# 1679555387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679555387 |
| Entity Type | Individual |
| Full Name | DR. EARL R JUDD |
| Credential | MD |
| Practice Address |
491 W Bourne Cir Farmington UT 84025-3650 |
| Practice Telephone | 8019399111 |
| Practice Fax Number | 8019399309 |
| Mailing Telephone | 8019399111 |
| Mailing Fax Number | 8019399309 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2016-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 5399040-1205 | UT | Allopathic & Osteopathic Physicians |
| Street Address |
491 W BOURNE CIR |
| City | FARMINGTON |
| State | UT |
| Zip Code | 84025-3650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265695191 | Paul Edward Morrison | Pediatrics | 491 W Bourne Cir, Farmington, UT 84025-3630 | 2008-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013522200 | Kim Nguyen | Behavior Technician | 1148 N Wilow Wind Rd Unit 9, Farmington, UT 84025 | 2020-09-14 |
| 1164980181 | Adam Thomas Creer | Nurse Practitioner | 696 N 40 E Apt 2, Farmington, UT 84025 | 2019-03-08 |
| 1881100550 | Lindsay Case | Counselor | 1645 W 1440 N, Farmington, UT 84025 | 2017-12-18 |
| 1447707955 | Joseph Daniel Levie | Chiropractor | 63 N. Main Street, Farmington, UT 84025 | 2016-09-01 |
| 1649724139 | University of Utah Adult Services | Dermatology | 165 N. University Ave. Farmington, Farmington, UT 84025 | 2016-08-12 |
| 1679931075 | Rhodes Physical Therapy, Inc | Clinic/Center | 722 W. Shepard Lane Suite 105, Farmington, UT 84025 | 2016-02-01 |
| 1760847552 | Polished Holdings, Inc. | Specialist | 491 W. Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-12-21 |
| 1568833911 | Ageless Men's Health Holdings, LLC | Specialist | 491 West Bourne Circle, Suite 2, Farmington, UT 84025 | 2015-10-12 |
| 1588053300 | Onsyte Surgical of Nevada, LLC | Clinic/Center | 1262 S 650 W Suite 1d, Farmington, UT 84025 | 2015-01-16 |
| 1568879872 | Laura Cook | Counselor | 1200 West Red Barn Lane, Farmington, UT 84025 | 2014-07-18 |
| Find all providers in zip 84025 | ||||
| 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 |
|---|---|---|---|---|
| 1801247861 | John Frederick Harper | Pediatrics | 175 Scott Swamp Rd, Farmington, CT 06032-3124 | 2016-06-30 |
| 1497094924 | Frederic Taylor Mauck | Pediatrics | 12 Porter Rd, Farmington, CT 06032-2221 | 2013-02-04 |
| 1497046049 | Bradley J. Scoggins | Pediatrics | 407 S Schwartz Ave Ste 102, Farmington, NM 87401-5925 | 2011-04-29 |
| 1053637389 | Alyssa S Bennett | Pediatrics | 505 Farmington Ave Fl 2, Farmington, CT 06032-1901 | 2010-04-12 |
| 1831338128 | Nordie Anne Bilbao | Pediatrics | 505 Farmington Ave Ste 1s, Farmington, CT 06032 | 2009-02-11 |
| 1790705804 | Barbara Ziogas | Pediatrics | 1 Forest Park Dr, Route 4, Farmington, CT 06032-1487 | 2006-07-20 |
| 1255363149 | Richard Grenville Diedrich | Pediatrics | 1001 D W. Broadway, Farmington, NM 87401 | 2006-07-07 |
| 1902837701 | John C Hickey | Pediatrics | 181 Franklin Health Cmns, Farmington, ME 04938-6144 | 2006-07-06 |
| 1912949645 | Nasreen Merchant | Pediatrics | 23133 Orchard Lake Rd, Suite 100, Farmington, MI 48336-3268 | 2006-06-10 |
| 1093777948 | Deepa Limaye | Pediatrics | 200 Mountain Rd, Farmington, CT 06032-2479 | 2006-04-05 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 84025 |
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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.