MARY OGORMAN DUDLEY


Address: 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519
Phone: 2037852140

MARY OGORMAN DUDLEY (NPI# 1871576314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1871576314
Entity Type Individual
Full Name MARY OGORMAN DUDLEY
Credential APRN
Practice Address 800 Howard Avenue
Yale Physicians Building
New Haven
CT 06519
Mailing Address Po Box 9805
300 George Street 6th Floor
New Haven
CT 06536-0805
Practice Telephone 2037852140
Practice Fax Number 2037856414
Mailing Telephone 2037857998
Mailing Fax Number 2037856414
Enumeration Date 2005-11-29
Last Update Date 2017-04-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363LA2100X Nurse Practitioner
Specialization: Acute Care
001686 CT Physician Assistants & Advanced Practice Nursing Providers
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
001686 CT Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CT 004244290 05

Office Location

Street Address 800 HOWARD AVENUE
YALE PHYSICIANS BUILDING
City NEW HAVEN
State CT
Zip Code 06519

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568450641 Michael S Remetz Internal Medicine 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 2005-10-12
1841832391 Alix Rebecca Wilder Registered Nurse 800 Howard Avenue, New Haven, CT 06519 2019-10-16
1174052682 Logan Petit Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Ybp 133, New Haven, CT 06520 2017-06-08
1295266112 Matthew Pichert Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Yale Physicians Building 2nd Floor, New Haven, CT 06511 2017-03-22
1598799157 Robert M. Milstein Psychiatry & Neurology 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 2006-07-10
1295768166 Elizabeth Wootton Physician Assistant 800 Howard Avenue, Yale New Haven Hospital, New Haven, CT 06519 2006-07-07
1801851936 Kristaps J Keggi Orthopaedic Surgery 800 Howard Avenue, New Haven, CT 06520-8071 2006-04-20
1588623938 Walter S Gilliam Psychologist 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 2006-03-22
1003885773 Calin Gorun-gorunescu Anesthesiology 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 2006-03-15
1205809068 Albert Carl Weihl II Emergency Medicine 800 Howard Avenue, Yale Physicians Building, New Haven, CT 06519 2006-02-10
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255819348 Jordan Ficocelli Nurse Practitioner 800 Howard Ave # 2, New Haven, CT 06519 2018-08-01
1780123414 Claire Louise Hardin General Acute Care Hospital 95 Howard Ave, New Haven, CT 06519 2017-02-14
1467809137 Ana Laura Vives-rodriguez Student in an Organized Health Care Education/Training Program 800 Howard Avenue, Lower Level, Yale Physicians Building, New Haven, CT 06519 2016-05-23
1346607785 Amanda Kayte Corcoran Advanced Practice Midwife 40 Prince St., Suite 207, New Haven, CT 06519 2016-01-15
1720491905 Sara Harcharik Perkins Dermatology 2 Church St S Ste 305, New Haven, CT 06519 2014-06-05
1194136713 Krishan Ratilal Jethwa Radiology 35 Park St Ste Ll507, New Haven, CT 06519 2014-05-16
1235549353 Brandon Michael Kitay Psychiatry & Neurology 184 Liberty St # Lv108, New Haven, CT 06519 2014-04-28
1649526617 Yale New Haven Hospital Student in an Organized Health Care Education/Training Program 330 Cedar St Fmb 107, Yale New Haven Hospital, Dept of Surgery, New Haven, CT 06519 2012-07-27
1669736765 Mayanka Tickoo Internal Medicine 300 Cedar St Fl 4, New Haven, CT 06519 2012-07-03
1730441627 Judith A Ross Physical Therapist 18 Tower Lane, Tower One Tower East, New Haven, CT 06519 2012-06-15
Find all providers in zip 06519

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326546839 Kristin Holly Van Horn Nurse Practitioner Winchester Chest Clinic, 789 Howard St, New Haven, CT 06510 2018-01-30
1205086915 Christiane Brigitte Sabourin Nurse Practitioner 20 York Cb-2041, Ynh Medical Services PC, New Haven, CT 06504 2008-09-30
1043495989 Michelle Bolles Vitale Nurse Practitioner 1 Howe St, New Haven, CT 06511-5473 2008-01-09
1154331015 Ami S Marshall Nurse Practitioner Yale Community Health Care Clinic, 270 Congress Ave, New Haven, CT 06519-1403 2006-08-09
1497393151 Teresa Huschart White Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2019-12-12
1336792225 Sadie Kathleen Hartell Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2019-07-19
1457830309 Shannon Maria Sweeney Nurse Practitioner 20 York St, New Haven, CT 06510-3220 2018-08-11
1336650001 Christine Moore Nurse Practitioner 20 York Street, Cb-2041, New Haven, CT 06510 2017-10-20
1366994956 Mandy Demerchant Nurse Practitioner 55 Park St, New Haven, CT 06511-5474 2016-10-29
1730545187 Colleen Chime Karkhang Nurse Practitioner 20 York St, New Haven, CT 06510 2016-01-14
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Competitor

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City NEW HAVEN
Zip Code 06519

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Dataset Information

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.

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