JEFFREY B JUDD (NPI# 1689659039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689659039 |
| Entity Type | Individual |
| Full Name | JEFFREY B JUDD |
| Credential | M.D. |
| Practice Address |
16091 Swingley Ridge Rd Ste 100 Chesterfield MO 63017 |
| Mailing Address |
11475 Olde Cabin Rd Ste 200 Saint Louis MO 63141-7129 |
| Practice Telephone | 3142385260 |
| Practice Fax Number | 3148211833 |
| Mailing Telephone | 3142385260 |
| Mailing Fax Number | 3149918206 |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
21074 | WV | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0101241011 | VA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
37086 | TN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25729 | KY | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0429845 | KS | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
036079642 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
R1H83 | MO | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
R1H83 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 202637419 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10010 Kennerly Rd, Saint Louis, MO 631282106 | 3145254492 | 3145254481 |
| 301 Tyson Ave, Paris, TN 382424544 | 3142385260 | 3148211833 |
| 751 Liberty St, Meadville, PA 163352559 | 3142385260 | 3148211833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801043047 | Jeffrey Scott Judd | Social Worker | 5770 S 1500 W, Taylorsville, UT 84123-5216 | 2008-08-19 |
| 1740253236 | Jeffrey W Judd | Physical Therapist | 200 1st St Sw, Rochester, MN 55905-0001 | 2006-02-07 |
| Street Address |
16091 SWINGLEY RIDGE RD STE 100 |
| City | CHESTERFIELD |
| State | MO |
| Zip Code | 63017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477710051 | Archana S Abhyankar | Radiology | 16091 Swingley Ridge Rd Ste 100, Chesterfield, MO 63017-2056 | 2008-05-21 |
| 1891809539 | Jyothi Mandava | Psychiatry & Neurology | 16091 Swingley Ridge Rd Ste 100, Chesterfield, MO 63017-2056 | 2006-08-19 |
| 1861400467 | Edward F Downey | Radiology | 16091 Swingley Ridge Rd Ste 100, Chesterfield, MO 63017-2056 | 2006-08-03 |
| 1548293673 | William B. Mehard | Radiology | 16091 Swingley Ridge Rd Ste 100, Chesterfield, MO 63017-2056 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114549193 | Kathryn E Bos | Student in an Organized Health Care Education/Training Program | 873 Apt N Foxsprings Dr, Chesterfield, MO 63017 | 2020-05-12 |
| 1700415171 | Charles H. Edwards | Physical Therapist | 224 South Woods Millrd., Suite 610 South, Chesterfield, MO 63017 | 2020-04-07 |
| 1003454562 | Stephanie Henningsen | Physical Therapy Assistant | 307 S Woods Rd, Chesterfield, MO 63017 | 2019-12-16 |
| 1831746296 | Star Lynn Sutton | Occupational Therapy Assistant | 15207 Olive Boulevard, Chesterfield, MO 63017 | 2019-08-21 |
| 1639738438 | Van Amburg & Busiek Md's, LLC | Pharmacy | 232 S Woodsmill Road, Suite 330 East, Chesterfield, MO 63017 | 2019-06-06 |
| 1306306865 | Margaret Mary Wynn | Nurse Practitioner | 15740 South Outer Road, Chesterfield, MO 63017 | 2019-03-21 |
| 1205393089 | Kimberly Danielle | Nurse Practitioner | 744 Forest Trace Dr, Chesterfield, MO 63017 | 2019-02-27 |
| 1457823965 | Allison Joy Mcgrail | Dietitian, Registered | 45740 S Outer Forty Rd, Chesterfield, MO 63017 | 2018-12-21 |
| 1316418080 | Julie Lefere | Social Worker | Mercy Virtual Care Center, 15740 S Outer 40 Rd, Chesterfield, MO 63017 | 2018-12-06 |
| 1336629641 | Catherine Dolphin Smith | Nurse Practitioner | 224 S Woods Mill Rd Ste 500, Chesterfield, MO 63017 | 2018-08-16 |
| Find all providers in zip 63017 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619209996 | Midwest Radiology Services, LLC | Radiology | 16091 Swingley Ridge Rd, Suite 100, Chesterfield, MO 63017-2056 | 2010-02-11 |
| 1972545655 | Patrick A Cabrera | Radiology | 1415 Elbridge Payne Rd Ste 120, Chesterfield, MO 63017-8522 | 2006-06-10 |
| 1679536114 | Barry Scott Highbloom | Radiology | 17655 Bridgeway Circle Dr, Chesterfield, MO 63005-4219 | 2006-04-07 |
| 1386611739 | St Lukes Center for Diagnostic Imaging LLC | Radiology | 6 Mcbride & Sons Corporate Center Drive, Suite 101, Chesterfield, MO 63005 | 2006-03-03 |
| 1134191083 | Gerald Keith Claycomb | Radiology | 14 Crown Manor Dr, Chesterfield, MO 63005-6805 | 2006-02-05 |
| 1689091076 | Usa Radiology Management Solutions LLC | Radiology | 1415 Elbridge Payne Rd Ste 120, Chesterfield, MO 63017-8522 | 2014-03-24 |
| 1477710051 | Archana S Abhyankar | Radiology | 16091 Swingley Ridge Rd Ste 100, Chesterfield, MO 63017-2056 | 2008-05-21 |
| 1225234933 | Jason A Kayser | Radiology | 232 S Woods Mill Rd, Chesterfield, MO 63017-3406 | 2007-06-21 |
| 1154459915 | Peter Holtz | Radiology | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2007-03-01 |
| 1841328606 | Kishan Yalavarthi | Radiology | 232 S Woods Mill Rd, Chesterfield, MO 63017-3417 | 2007-03-01 |
| Find all providers in CHESTERFIELD | ||||
| City | CHESTERFIELD |
| Zip Code | 63017 |
Please comment or provide details below to improve the information on JEFFREY B JUDD.
| 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.