JERALD S DUDNEY (NPI# 1770669871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770669871 |
| Entity Type | Individual |
| Full Name | JERALD S DUDNEY |
| Credential | M.D. |
| Practice Address |
220 S Arlington Ave Springfield OH 45505-1302 |
| Mailing Address |
2121 E High St Springfield OH 45505-1368 |
| Practice Telephone | 9373234350 |
| Practice Fax Number | 9373644483 |
| Mailing Telephone | 9373234350 |
| Mailing Fax Number | 9373237621 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 35-06-6707 | OH | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
35-06-6707 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0968305 | 05 |
| Street Address |
220 S ARLINGTON AVE |
| City | SPRINGFIELD |
| State | OH |
| Zip Code | 45505-1302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871089680 | Jessica Renee Wallace | Nurse Practitioner | 1821 E. High St., Springfield, OH 45505 | 2018-07-04 |
| 1912317108 | Merek Ramirez | Counselor | 363 S Burnett Road, Back Office, Springfield, OH 45505 | 2014-04-28 |
| 1760736045 | Pamela Kay Beatty | Licensed Practical Nurse | 422 Rice St, Springfield, OH 45505 | 2012-11-07 |
| 1285997676 | Tylin Yvette January | Licensed Practical Nurse | 720 Mound Street, Springfield, OH 45505 | 2012-06-20 |
| 1639457492 | Sherry Robinette | Dentist | 3471 East National Road, Springfield, OH 45505 | 2011-07-28 |
| 1124324116 | Kncc Enterprise, LLC | Physical Therapist | 155 South Tuttle Road, Springfield, OH 45505 | 2011-02-08 |
| 1316272420 | Rocking Horse Children's Health Center | Clinic/Center | 651 South Limestone Streeet, Springfield, OH 45505 | 2009-10-07 |
| 1326269101 | Jeffrey L Kearfott | Ophthalmology | 20 South Burnett, Springfield, OH 45505 | 2007-05-01 |
| 1932274511 | Whitacre Pharmacies LLC | Pharmacy | 1816 S Limestone St, Springfield, OH 45505 | 2006-11-21 |
| 1114024569 | Clark County Sheriff's Office | Public Health or Welfare | 3130 E. National Rd., Springfield, OH 45505 | 2006-09-20 |
| Find all providers in zip 45505 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912249061 | Christopher Hwang | Internal Medicine | 100 W Sproul Rd Ste 221, Springfield, PA 19064-2033 | 2013-03-26 |
| 1285777698 | Lance Luria | Internal Medicine | 3265 S National Ave, Suite 200, Springfield, MO 65807-7304 | 2007-02-15 |
| 1033197553 | Anne Marsh Egbert | Internal Medicine | 4630 W Farm Road 82, Springfield, MO 65803-6065 | 2006-01-04 |
| 1932601887 | Luybang Trinh | Internal Medicine | 300 Stafford St, Springfield, MA 01104-4110 | 2018-03-07 |
| 1154779445 | Post Acute Care Clinicians, LLC | Internal Medicine | 819 Worcester St Ste 1, Springfield, MA 01151-1056 | 2016-05-27 |
| 1043626856 | Maryam M Hasan | Internal Medicine | 759 Chestnut St, Springfield, MA 01107-1619 | 2014-07-02 |
| 1285955476 | Maria Jose Ferrera | Internal Medicine | 380 Plainfield St, Springfield, MA 01199-1619 | 2010-06-22 |
| 1235339607 | Erin J Leahy | Internal Medicine | 759 Chestnut St, S2668, Springfield, MA 01107-1619 | 2007-07-23 |
| 1982820726 | Rebecca S Starr | Internal Medicine | 11 Wilbraham Rd, Springfield, MA 01109-3161 | 2007-04-18 |
| 1326174574 | Alison Whitney Grover | Internal Medicine | 101 Wason Ave, Springfield, MA 01107-1140 | 2007-02-24 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 45505 |
Please comment or provide details below to improve the information on JERALD S DUDNEY.
| 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.