DUDLEY T MOORHEAD MD NPI 1306864673

NPI Information

NPI: 1306864673
Provider Name: DUDLEY T MOORHEAD, MD
Classification: Surgery - 2086S0129X
Entity Type: Individual

Specialization: Vascular Surgery

Address:
1135 116TH AVE NE STE 220
BELLEVUE, WA
ZIP 98004
Phone: (425) 450-7007
Get Directions

Dudley T Moorhead, MD is a vascular surgery surgery in Bellevue, WA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. Dudley T Moorhead, MD NPI is 1306864673. 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:

1135 116TH AVE NE STE 220
BELLEVUE, WA
ZIP 98004-623
Phone: (425) 450-7007
Fax: (425) 450-0026

The enumeration date for this NPI number is 7/17/2006 and was last updated on 11/29/2007.

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
1	2086S0129X	Surgery	Vascular Surgery	MD00016496	WASHINGTON	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
1	A05210	MEDICARE UPIN	WASHINGTON
2	AB16817	MEDICARE ID-TYPE UNSPECIFIED	WASHINGTON
3	1371004	MEDICAID	WASHINGTON

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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