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JAMES CURTIS FUDGE M.D. NPI 1477728640


NPI Information

NPI: 1477728640
Provider Name: JAMES CURTIS FUDGE, M.D.
Classification: Pediatrics - 208000000X
Entity Type: Individual
Organization: FLORIDA CLINICAL PRACTICE ASSOCIATION INC

PECOS Registration: Yes

Address:
1600 SW ARCHER ROAD
THE CONGENITAL HEART CENTER AT UF
GAINESVILLE, FL
ZIP 32610
Phone: (352) 273-5422
Get Directions

James Curtis Fudge, M.D. is a pediatrics in Gainesville, FL with 23 years of experience. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. James Curtis Fudge, M.D. NPI is 1477728640. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

1600 SW ARCHER ROAD
THE CONGENITAL HEART CENTER AT UF
GAINESVILLE, FL
ZIP 32610
Phone: (352) 273-5422
Fax: (352) 392-0547

The NPI 1477728640 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 4/28/2008 and was last updated on 8/22/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12080P0202XPediatricsPediatric Cardiology2005-01012NORTH CAROLINANo
2208000000XPediatricsME107837FLORIDAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003110304AMEDICAIDGEORGIA
2FD012ZMEDICARE PINFLORIDA
3DO154ZMEDICARE PINFLORIDA
4149CCOTHERFLORIDABCBSFL
5002668600MEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.