PATRICIA L JUDSON MD NPI 1063504983

NPI Information

NPI: 1063504983
Provider Name: PATRICIA L JUDSON, MD
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1401 S 31ST ST
PHILADELPHIA, PA
ZIP 19146
Phone: (215) 925-4201
Get Directions

Patricia L Judson, MD is an obstetrics gynecology in Philadelphia, PA. The provider is 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. Patricia L Judson, MD NPI is 1063504983. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1401 S 31ST ST
PHILADELPHIA, PA
ZIP 19146-506
Phone: (215) 925-4201

The NPI 1063504983 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/28/2006 and was last updated on 12/8/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology	41648	MINNESOTA	No
2	207V00000X	Obstetrics & Gynecology	9426158-1205	UTAH	No
3	207V00000X	Obstetrics & Gynecology	MD475526	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	36-11172	OTHER	MINNESOTA	MEDICA-CHOICE
2	858113	OTHER		ARAZ
3	462327400	MEDICAID	MINNESOTA
4	166439	OTHER	MINNESOTA	FAIRVIEW
5	43R99JU	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
6	HP29190	OTHER	MINNESOTA	HEALTH PARTNERS
7	36-04052	OTHER	MINNESOTA	MEDICA-PRIMARY
8	1021429	OTHER	MINNESOTA	PREFERRED ONE
9	127255	OTHER	MINNESOTA	U CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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