Provider Type Icon

HUDSON DERMATOLOGY PC NPI 1578744181


NPI Information

NPI: 1578744181
Provider Name: HUDSON DERMATOLOGY, PC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
3501 WASHINGTON AVE
EVANSVILLE, IN
ZIP 47714
Phone: (812) 474-1234
Get Directions

HUDSON DERMATOLOGY, PC is a specialist in Evansville, IN. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. HUDSON DERMATOLOGY, PC NPI is 1578744181. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3501 WASHINGTON AVE
EVANSVILLE, IN
ZIP 47714-538
Phone: (812) 474-1234
Fax: (812) 402-3636

The provider's authorized official is Charles P Hudson .
The authorized official title is Owner and has the following contact phone number (812) 474-1234.

The enumeration date for this NPI number is 11/26/2007 and was last updated on 2/27/2008.


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
1174400000XSpecialist01029475AINDIANAYes

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
10000000317128OTHERINDIANAANTHEM BCBS
2C25408MEDICARE UPININDIANA
3000000079535OTHERINDIANAANTHEM
41023595OTHERINDIANATRICARE
5693560MEDICARE PININDIANA
6P00134400OTHERINDIANARR MEDICARE

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

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.