DR. SHANNON HUDSON MD NPI 1548234701

NPI Information

NPI: 1548234701
Provider Name: DR. SHANNON HUDSON, MD
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

PECOS Registration: Yes

Address:
90 MAIDEN LN
THIRD FLOOR
NEW YORK, NY
ZIP 10038
Phone: (646) 290-9563
Get Directions

DR. Shannon Hudson, MD is a gynecology obstetrics gynecology in New York, NY. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee DR. Shannon Hudson, MD NPI is 1548234701. 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:

90 MAIDEN LN
THIRD FLOOR
NEW YORK, NY
ZIP 10038-831
Phone: (646) 290-9563
Fax: (212) 532-4362

The NPI 1548234701 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 2/15/2006 and was last updated on 10/11/2013.

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	207VG0400X	Obstetrics & Gynecology	Gynecology	211767	NEW YORK	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	043748486	OTHER		BEECH ST
2	043748486	OTHER		EMPIRE UNITED
3	7163020	OTHER		AETNA
4	113353533	OTHER		MAGNACARE
5	6166533	OTHER	NEW YORK	CIGNA
6	9734198	OTHER		GHI MEDICAID
7	211767	OTHER		HIP
8	P1943708	OTHER	NEW YORK	OXFORD
9	043748486	OTHER	NEW YORK	PHCS
10	2268814	OTHER		UNITED HEALTH
11	3170706	OTHER	NEW YORK	USHC HMO
12	043748486	OTHER		MAGNACARE
13	OMO764	OTHER	NEW YORK	HEALTHNET
14	043748486	OTHER	NEW YORK	MULTIPLAN
15	624D91	OTHER		BCBS
16	043748486	OTHER	NEW YORK	HORIZON
17	043748486	OTHER	NEW YORK	GREAT WEST
18	043748486	OTHER		HUMANA INS

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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