TIM MYRON DUDICH (NPI# 1730197302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730197302 |
| Entity Type | Individual |
| Full Name | TIM MYRON DUDICH |
| Practice Address |
45 Ne Loop 410 Ste 900 San Antonio TX 78216-5831 |
| Practice Telephone | 2103757780 |
| Mailing Telephone | 2103757780 |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | 50574 | Speech, Language and Hearing Service Providers |
| Street Address |
45 NE LOOP 410 STE 900 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78216-5831 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174968200 | Melissa Wilcox Blasko | Anesthesiology | 45 Ne Loop 410 Ste 900, San Antonio, TX 78216-5831 | 2013-05-02 |
| 1114360559 | Sara Fohn Mcwilliams | Anesthesiology | 45 Ne Loop 410 Ste 900, San Antonio, TX 78216-5831 | 2013-04-16 |
| 1952650533 | Alma M Tijerina | Specialist/Technologist, Other | 45 Ne Loop 410 Ste 900, San Antonio, TX 78216-5831 | 2012-08-29 |
| 1053675710 | Julius Samuel Nuesa Aluyen IIi | Anesthesiology | 45 Ne Loop 410 Ste 900, San Antonio, TX 78216-5831 | 2012-06-27 |
| 1437331956 | Kimberly R. Holmgreen | Anesthesiology | 45 Ne Loop 410 Ste 900, San Antonio, TX 78216-5831 | 2007-11-27 |
| 1225219678 | J Cannon Clifton | Anesthesiology | 45 Ne Loop 410 Ste 900, San Antonio, TX 78216-5831 | 2007-11-14 |
| 1508944117 | Juan Pablo Marusich | Anesthesiology | 45 Ne Loop 410 Ste 900, San Antonio, TX 78216-5831 | 2006-11-01 |
| 1427166040 | Mary Jo Burleigh | Nurse Anesthetist, Certified Registered | 45 Ne Loop 410 Ste 900, San Antonio, TX 78216-5831 | 2006-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376179820 | Damiana Lea Mcmahan | Speech-Language Pathologist | 12 Inter Park Blvd, #105, San Antonio, TX 78216 | 2020-03-17 |
| 1811530967 | Hacienda Hospice, Ltd | Hospice Care, Community Based | 101 W Silver Sands Dr, San Antonio, TX 78216 | 2019-10-22 |
| 1437792876 | Eddy Sidra | Optometrist | 7400 San Pedro Avenue, Suite 486, San Antonio, TX 78216 | 2019-10-17 |
| 1083256796 | Tiffany Michelle Goericke | Physical Therapist | 502 East Ramsey, San Antonio, TX 78216 | 2019-10-14 |
| 1780246942 | Esperanza Eating Disorders Center, Pllc | Clinic/Center | 403 E. Ramsey, Suite 204, San Antonio, TX 78216 | 2019-07-08 |
| 1568938314 | Lyric Lea Lewis | Licensed Vocational Nurse | 85 Ne Interstate 410 Loop #500, San Antonio, TX 78216 | 2018-10-19 |
| 1912488206 | Rebecca Anna Poppe | Licensed Vocational Nurse | 1514 Vista Del Norte, San Antonio, TX 78216 | 2018-08-24 |
| 1205338779 | Bailee Hannah Mokry | Behavioral Analyst | 11306 Sir Winston, San Antonio, TX 78216 | 2018-03-01 |
| 1487155677 | Ojer Corbie | Behavior Technician | 11310 Sir Winston At Bld D, San Antonio, TX 78216 | 2018-02-23 |
| 1366943631 | Briana Nicole Rodriguez | Behavior Technician | 14235 Blanco Road, San Antonio, TX 78216 | 2018-02-22 |
| Find all providers in zip 78216 | ||||
| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609494855 | Acro Audiology Hearing Care Center | Audiologist | 540 Oak Centre Dr Ste 220, San Antonio, TX 78258-3937 | 2020-07-13 |
| 1902440282 | Madeline Alane Yoder | Audiologist | 18518 Hardy Oak Blvd Ste 301, San Antonio, TX 78258-4762 | 2019-10-30 |
| 1306406202 | Gabrielle Nicole Sepulveda | Audiologist | 21 Spurs Ln Ste 100, San Antonio, TX 78240 | 2019-06-13 |
| 1801255435 | Mona Anwar El-kady | Audiologist | 411 S.w. 24th St, Jersig Building J119, San Antonio, TX 78207 | 2016-02-10 |
| 1366827131 | Kayla Golliher | Audiologist | 142 El Monte Blvd, San Antonio, TX 78212-1246 | 2015-07-22 |
| 1821341462 | Joan Renee Dupuy | Audiologist | 18518 Hardy Oak Blvd Ste 300, San Antonio, TX 78258-4762 | 2012-10-19 |
| 1679866826 | Jack Jones Hearing Centers, Inc. | Audiologist | 5841 Nw Loop 410, Suite 107, San Antonio, TX 78238-2526 | 2011-05-20 |
| 1821381070 | Jack Jones Hearing Centers, Inc. | Audiologist | 3023 Thousand Oaks Drive, Suite 105, San Antonio, TX 78247-3557 | 2011-05-20 |
| 1457668980 | Michelle Brozo Coll | Audiologist | 7335 Walla Walla Dr, San Antonio, TX 78250-5242 | 2010-09-03 |
| 1700016383 | Allen Douglas Webb | Audiologist | 4205 Medical Drive, San Antonio, TX 78229 | 2009-07-17 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78216 |
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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.