Tanya Dawn Hudson (NPI# 1699957894, PAC ID# 1951491216) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OCCUPATIONAL THERAPY.
| Nation Provider ID (NPI) | 1699957894 |
| PAC ID by PECOS | 1951491216 |
| Professional Enrollment ID | I20180907002075 |
| Full Name | Tanya Dawn Hudson |
| Organization Legal Name | SOUTHSHORE PHYSICAL THERAPY AND SPORTSMEDICINE |
| Address |
1827 Wells St Suite 2 Wailuku HI 96793-2370 |
| Phone Number | 8082440077 |
| Gender | F |
| Graduation Year | 1997 |
| Primary Specialty | OCCUPATIONAL THERAPY |
| Group Practice PAC ID | 5799788808 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1827 Wells St, Suite 2, Wailuku, HI 96793-2370 | 8082440077 | SOUTHSHORE PHYSICAL THERAPY AND SPORTSMEDICINE |
| Organization Legal Name | SOUTHSHORE PHYSICAL THERAPY AND SPORTSMEDICINE |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tina Sosa | Occupational Therapy | Southshore Physical Therapy and Sportsmedicine | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Christine M Lachance | Physical Therapy | Southshore Physical Therapy and Sportsmedicine | 40 Kupuohi St, Suite 105, Lahaina, HI 96761-2714 |
| Samantha D Stella | Physical Therapy | Southshore Physical Therapy and Sportsmedicine | 380 Huku Lii Pl, Suite 105, Kihei, HI 96753-7043 |
| Jennifer Ann Chase | Physical Therapy | Southshore Physical Therapy and Sportsmedicine | 40 Kupuohi St, Lahaina, HI 96761-2714 |
| Street Address |
1827 WELLS ST SUITE 2 |
| City | WAILUKU |
| State | HI |
| Zip | 96793-2370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sean C Jonick | Occupational Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 1827 Wells St, Suite 2, Wailuku, HI 96793-2370 |
| Scott R Smith | Physical Therapy | South Shore Physical Therapy and Sportsmedicine Inc | 1827 Wells St, Suite 2, Wailuku, HI 96793-2370 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Soren Carlsen | Urology | 1883 Mill St, Wailuku, HI 96793-1236 | |
| Robert D Lanser Jr. | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| David J Wittenberg | Psychologist, Clinical | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Bahram Taghavi | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Margaret E Goldberg | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| George L Carlson | Addiction Medicine | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Connie J Debord | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Joel Tapler | Clinical Social Worker | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Royal Randolph Jr. | Psychiatry | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Sharilyn Jane Butteling | Nurse Practitioner | Aloha House, Inc. | 1787 Wili Pa Loop, Suite 7, Wailuku, HI 96793-1271 |
| Find all physicians in zip 96793 | |||
| City | WAILUKU |
| Zip Code | 96793 |
| Specialty | OCCUPATIONAL THERAPY |
| City + Specialty | WAILUKU + OCCUPATIONAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.