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DAVID ELLIOTT MUDGE PA NPI 1073829818


NPI Information

NPI: 1073829818
Provider Name: DAVID ELLIOTT MUDGE, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
50 E DUNLAP
STE 105
PHOENIX, AZ
ZIP 85020
Phone: (602) 944-4626
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David Elliott Mudge, PA is a medical physician assistant in Phoenix, AZ. David Elliott Mudge, PA NPI is 1073829818. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

50 E DUNLAP
STE 105
PHOENIX, AZ
ZIP 85020
Phone: (602) 944-4626
Fax: (602) 944-2805

The NPI 1073829818 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Destruction of 2-14 skin growths (HCPCS:17003)
  • Destruction of skin growth (HCPCS:17000)
  • Destruction of up to 14 skin growths (HCPCS:17110)
  • Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)

The enumeration date for this NPI number is 8/30/2010 and was last updated on 10/5/2011.


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
1363AM0700XPhysician AssistantMedical3207ARIZONAYes

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.