Tommy L Fudge (NPI# 1164429171, PAC ID# 8123078169) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is THORACIC SURGERY.
| Nation Provider ID (NPI) | 1164429171 |
| PAC ID by PECOS | 8123078169 |
| Professional Enrollment ID | I20050127000038 |
| Full Name | Tommy L Fudge |
| Organization Legal Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Address |
604 N Acadia Rd Suite 409 Thibodaux LA 70301-4897 |
| Phone Number | 9854494670 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1970 |
| Primary Specialty | THORACIC SURGERY |
| Secondary Specialties | CARDIAC SURGERY |
| Group Practice PAC ID | 8224011754 |
| Number of Group Practice Members | 73 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 190004 | THIBODAUX REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 604 N Acadia Rd, Suite 409, Thibodaux, LA 70301-4897 | 9854494670 | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 76% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 99% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 93% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 88% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 6% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 57% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 27% |
| Organization Legal Name | THIBODAUX REGIONAL NETWORK DEVELOPMENT CORPORATION |
| Physicians | 64 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Kesterson | Physician Assistant | Thibodaux Regional Network Development Corporation | 525 Saint Mary St, Thibodaux, LA 70301-2627 |
| Eric J Gravois | Family Medicine | Thibodaux Regional Network Development Corporation | 3928 Hwy 70 S, Thibodaux Regional Family Medicine Clinic, Pierre Part, LA 70339-4460 |
| Ashish Udhrain | Hematology/oncology | Thibodaux Regional Network Development Corporation | 608 N Acadia Rd, Thibodaux Regional Oncology Clinic, Thibodaux, LA 70301-4847 |
| Richard D Demoss | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Jared Y Gilmore Iii | Cardiovascular Disease (cardiology) | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd Ekg Dept, Thibodaux Regional Heart and Vascular Surgery Clinic, Thibodaux, LA 70301-4847 |
| Tatyana V Kalinicheva | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Gregory F Dobard | Diagnostic Radiology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux, LA 70301-4847 |
| Vicky L Vilcan | Certified Registered Nurse Anesthetist (crna) | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux, LA 70301-4847 |
| John B Imms | Internal Medicine | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Meggie E Doucet | Pathology | Thibodaux Regional Network Development Corporation | 602 N Acadia Rd, Thibodaux Regional Maternal Fetal Clinic, Thibodaux, LA 70301-4847 |
| Street Address |
604 N ACADIA RD SUITE 409 |
| City | THIBODAUX |
| State | LA |
| Zip | 70301-4897 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James K. Modisette | Nephrology | Kidney Center of South Louisiana, Amc | 604 N Acadia Rd, Suite 405, Thibodaux, LA 70301-4897 |
| Dandra J Davis | Anesthesiology | Youngs Professional Services LLC | 604 N Acadia Rd, Suite 300, Thibodaux, LA 70301-4897 |
| Johnny Perez | General Surgery | Advanced Southern Surgical | 604 N Acadia Rd, Suite 406, Thibodaux, LA 70301-4897 |
| Nicole D Prosperie | Obstetrics/gynecology | Thibodaux Regional Network Development Corporation | 604 N Acadia Rd, 500 Thibodaux Regional Women's Clinic, Thibodaux, LA 70301-4743 |
| Justin M Tenney | Otolaryngology | Southern Ent Associates Inc | 604 N Acadia Rd, Suite 101, Thibodaux, LA 70301-4897 |
| Guy P Zeringue Iii | Otolaryngology | Southern Ent Associates Inc | 604 N Acadia Rd, Suite 101, Thibodaux, LA 70301-4897 |
| Gregory C Maidoh | Internal Medicine | 604 N Acadia Rd, Suite 202, Thibodaux, LA 70301-4897 | |
| Kerry E. Shaver | Internal Medicine | Thibodaux Regional Network Development Corporation | 604 N Acadia Rd, Suite 410, Thibodaux, LA 70301-4897 |
| Christopher Z Rodrigue | Obstetrics/gynecology | Thibodaux Regional Network Development Corporation | 604 N Acadia Rd, 500 Thibodaux Regional Women's Clinic, Thibodaux, LA 70301-4743 |
| Anne E Rodrigue | Obstetrics/gynecology | Thibodaux Regional Network Development Corporation | 604 N Acadia Rd, 500 Thibodaux Regional Women's Clinic, Thibodaux, LA 70301-4743 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David R Kesterson | Physician Assistant | Thibodaux Regional Network Development Corporation | 525 Saint Mary St, Thibodaux, LA 70301-2627 |
| Lisa Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jenaye M Deroche | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| David Mitchell | Optometry | Mitchell Eye Care Associates, L.L.C. | 425 Saint Mary St, Thibodaux, LA 70301-2641 |
| Jared S Thurston | Ophthalmology | 302 Ridgefield Rd, Thibodaux, LA 70301-2724 | |
| Charles L Seaman | Optometry | 907 Ridgefield Rd, Thibodaux, LA 70301-2843 | |
| Jeffrey Edward Aycock | Oral Surgery | Oral-facial Surgery Center Apc | 923 Ridgefield Rd, Thibodaux, LA 70301-2844 |
| Deidre A Boults | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Kryshonda Y Alleyne | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Melissa Lepine | Nurse Practitioner | Minuteclinic Diagnostic of Louisiana, L.L.C. | 201 N Canal Blvd, Thibodaux, LA 70301-2910 |
| Find all physicians in zip 70301 | |||
| City | THIBODAUX |
| Zip Code | 70301 |
| Specialty | THORACIC SURGERY |
| City + Specialty | THIBODAUX + THORACIC SURGERY |
Please comment or provide details below to improve the information on Tommy L Fudge.
| 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.