DR. JOHN R DUDA M.D. NPI 1588690556

NPI Information

NPI: 1588690556
Provider Name: DR. JOHN R DUDA, M.D.
Classification: Specialist - 174400000X
Entity Type: Individual

PECOS Registration: Yes

Address:
60 TOWNSHIP LINE RD
ELKINS PARK, PA
ZIP 19027
Phone: (215) 663-6620
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DR. John R Duda, M.D. is a specialist in Elkins Park, PA with 50 years of experience. 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. DR. John R Duda, M.D. NPI is 1588690556. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1974

The provider's business location address is:

60 TOWNSHIP LINE RD
ELKINS PARK, PA
ZIP 19027-220
Phone: (215) 663-6620
Fax: (215) 663-6630

The NPI 1588690556 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 6/23/2006 and was last updated on 7/8/2007.

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	174400000X	Specialist		MD016741E	PENNSYLVANIA	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	2512889	OTHER	PENNSYLVANIA	US HEALTHCARE
2	0052364000	OTHER	PENNSYLVANIA	HMO ID
3	091229MD1	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA
4	0006982880002	MEDICAID	PENNSYLVANIA
5	1005357	OTHER	PENNSYLVANIA	KEYSTONE MERCY
6	0069828805	OTHER	PENNSYLVANIA	AMERICHOICE MEDICAID
7	990781	OTHER	PENNSYLVANIA	HEALTH PARTNERS
8	C29571	MEDICARE UPIN	PENNSYLVANIA

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

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.

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