MARY H LUDWICZAK (NPI# 1780678805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780678805 |
| Entity Type | Individual |
| Full Name | MARY H LUDWICZAK |
| Credential | MD |
| Practice Address |
1660 Delaware St Longview WA 98632-2310 |
| Mailing Address |
Po Box 3002 Longview WA 98632-0302 |
| Practice Telephone | 3604142800 |
| Practice Fax Number | 3604142803 |
| Mailing Telephone | 3604142800 |
| Mailing Fax Number | 3604142803 |
| Enumeration Date | 2005-09-02 |
| Last Update Date | 2014-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | MD00032784 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8178352 | 05 | |
| RR MEDICARE | 160040953 | 01 | |
| WA | LABOR & IND | 102491 | 01 |
| OR | 074463 | 05 |
| Street Address |
1660 DELAWARE ST |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396742540 | Maria P. Magnuson | Specialist | 1660 Delaware St, Peacehealth Women's Health Pavilion, Longview, WA 98632-2310 | 2005-07-01 |
| 1821338591 | Heather Elizabeth Ross Blackford | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2013-02-18 |
| 1548527369 | Gretchen Blue Schwinn | Advanced Practice Midwife | 1660 Delaware St, Longview, WA 98632-2310 | 2012-04-18 |
| 1871809194 | J'aime Ellen Graff | Health Educator | 1660 Delaware St, Longview, WA 98632-2310 | 2010-08-24 |
| 1508000563 | Laura Elise Loffredo | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2009-04-21 |
| 1124297205 | Peacehealth | Durable Medical Equipment & Medical Supplies | 1660 Delaware St, Longview, WA 98632-2310 | 2008-02-22 |
| 1447457387 | Michelle Ann Phillips | Registered Nurse | 1660 Delaware St, Longview, WA 98632-2310 | 2007-07-02 |
| 1225157225 | Clarissa Justine Weiss | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2007-03-29 |
| 1124185665 | Saeyeal Lee | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2007-01-03 |
| 1720166879 | Robert Cojuangco Cruz IIi | Obstetrics & Gynecology | 1660 Delaware St, Longview, WA 98632-2310 | 2006-11-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386023968 | Elizabeth Ann Heeb Tidwell | Obstetrics & Gynecology | 802 Medical Dr Ste 100, Longview, TX 75605 | 2015-05-28 |
| 1578744967 | Nathan S. Drever | Obstetrics & Gynecology | 707 Hollybrook Dr Ste 503, Longview, TX 75605-2410 | 2007-11-14 |
| 1073699500 | Ricky Allen Paul | Obstetrics & Gynecology | 323 E Hawkins Pkwy Fl 2, Longview, TX 75605-8153 | 2006-10-27 |
| 1265409668 | Julia B Van Burkleo | Obstetrics & Gynecology | 1111 N 6th St, Longview, TX 75601-5537 | 2006-03-03 |
| 1245207638 | Francis J Tibiletti | Obstetrics & Gynecology | 701 E Marshall Ave Ste 309, Longview, TX 75601-5597 | 2006-03-03 |
| 1023085925 | Sabrina M Benefield | Obstetrics & Gynecology | 802 Medical Dr Ste 200, Longview, TX 75605-5201 | 2006-03-01 |
| 1801891635 | David Doerrfeld | Obstetrics & Gynecology | 802 Medical Dr, Suite 202, Longview, TX 75605-5153 | 2005-06-17 |
| 1336788355 | Longview Wellness Center, Inc. | Obstetrics & Gynecology | 705 E Marshall Ave Ste 3000, Longview, TX 75601-5661 | 2019-12-23 |
| 1396274296 | Zeid Medical Group, Pllc | Obstetrics & Gynecology | 703 E Marshall Ave Ste 4002, Longview, TX 75601-5622 | 2017-06-06 |
| 1518327311 | John Kirk Md Pa | Obstetrics & Gynecology | 700 E Marshall Ave, Longview, TX 75601-5580 | 2016-03-07 |
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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.