DR. DAVID BRIAN GUDKESE (NPI# 1750330163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750330163 |
Entity Type | Individual |
Full Name | DR. DAVID BRIAN GUDKESE |
Credential | MD |
Practice Address |
473 E Greenville Ave Winchester IN 47394-9436 |
Mailing Address |
9588 Valparaiso Ct Indianapolis IN 46268-1130 |
Practice Telephone | 7655840249 |
Enumeration Date | 2006-05-10 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01038360A | IN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2382989 | 05 |
Street Address |
473 E GREENVILLE AVE |
City | WINCHESTER |
State | IN |
Zip Code | 47394-9436 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457359937 | Samuel D Krutz | Anesthesiology | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2005-07-08 |
1689039604 | Justin Hersberger | Specialist/Technologist | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2015-12-17 |
1184031932 | Pauletta J Hummel | Nurse Practitioner | 473 E Greenville Ave, Winchester, IN 47394 | 2014-07-14 |
1265860639 | Indiana Emergency Physicians, LLP | Emergency Medicine | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2013-10-23 |
1104102037 | Indiana Physician Management-randolph, LLC | Emergency Medicine | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2011-10-24 |
1033304241 | St. Vincent Randolph Hospital, Inc. | Family Medicine | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2007-09-11 |
1477760205 | Mary Ellen Jackson | Dietitian, Registered | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2007-05-17 |
1558581181 | Kathryn A Wren I | Pharmacist | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2007-04-26 |
1730130238 | St. Vincent Randolph Hospital, Inc | Medicare Defined Swing Bed Unit | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2006-05-12 |
1609826783 | St. Vincent Randolph Hospital, Inc. | General Acute Care Hospital | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2006-05-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053889113 | Kristen Michelle Bogue | Nurse Practitioner | 910 E Washingon Street Suite 2, Winchester, IN 47394 | 2018-11-07 |
1972043305 | Lacie Shae Burge | Nurse Practitioner | 400 South Oak Street, Randolph Medical Center, Winchester, IN 47394 | 2017-03-04 |
1598018913 | Taylor L Stephens | Social Worker | 325 S Oak St, 103, Winchester, IN 47394 | 2012-10-23 |
1518189323 | Cari Prinkey | Pharmacist | 473 Greenville Avenue, Winchester, IN 47394 | 2007-05-02 |
1083708432 | Help-call & Rescue | Home Health | 605 West Newton, Winchester, IN 47394 | 2006-10-02 |
1548582950 | Samantha M Morris | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2010-02-26 |
1649271693 | S Kathryn Joyner | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2005-08-02 |
1184874331 | Dianna L. Naylor | Counselor | 730 W Washington St, Winchester, IN 47394-1425 | 2008-09-24 |
1619582673 | Kristen Lea Grilliot | Social Worker | 730 W Washington St, Winchester, IN 47394-1425 | 2020-09-15 |
1609245133 | Tonia Childers | Social Worker | 730 W Washington St, Winchester, IN 47394-1425 | 2015-09-15 |
Find all providers in zip 47394 |
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 |
---|---|---|---|---|
1598886251 | Winchester Open Mri | Radiology | 475 Shoppers Village Drive, Winchester, KY 40391 | 2007-04-02 |
1801876313 | James R. Koepke | Radiology | 160 Exeter Dr Ste 104, Winchester, VA 22603-8614 | 2006-01-19 |
1154875557 | North Shore Radiological Associates, Inc. | Radiology | 41 Highland Ave, Winchester, MA 01890-1446 | 2016-08-15 |
1871047357 | Nsra IIi | Radiology | 41 Highland Ave, Winchester, MA 01890-1446 | 2016-08-12 |
1134562556 | Nabeel Arastu | Radiology | 1840 Amherst St, Winchester, VA 22601 | 2013-04-16 |
1902103047 | Advanced Radiology Associates of Southern Tn, Pllc | Radiology | 185 Hospital Rd, Winchester, TN 37398-2404 | 2011-02-25 |
1386961753 | Kentucky Hospital, LLC | Radiology | 175 Hospital Dr, Winchester, KY 40391-9591 | 2010-04-26 |
1063736858 | Kiarash Jahed | Radiology | 1840 Amherst St, Winchester, VA 22601-2808 | 2010-03-23 |
1346477791 | Regional Physicians Corporation II | Radiology | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2009-06-12 |
1669613873 | Clark Regional Medical Center, Inc. | Radiology | 1107 W Lexington Ave, Winchester, KY 40391-1169 | 2009-03-18 |
Find all providers in WINCHESTER |
City | WINCHESTER |
Zip Code | 47394 |
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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.