DR. JACOB GREGORY LUDINGTON MD PHD NPI 1134613383

NPI Information

  • NPI: 1134613383
  • Provider Name: DR. JACOB GREGORY LUDINGTON, MD, PHD
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 800 WASHINGTON ST
    BOSTON, MA
    ZIP 02111
  • Phone: (617) 636-2567

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NPI Details

DR. Jacob Gregory Ludington, MD, PHD is a student in an organized health care education training program in Boston, MA. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Jacob Gregory Ludington, MD, PHD NPI is 1134613383. 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:

800 WASHINGTON ST
BOSTON, MA
ZIP 02111-552
Phone: (617) 636-2567

The enumeration date for this NPI number is 6/20/2018 and was last updated on 5/6/2021.

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 Taxonomy Specialization License Number License State Primary
1207L00000XAnesthesiology2018018657MISSOURINo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

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: 11/21/2025

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