REUBEN GUY HUDSON MD FAAP NPI 1710995295

NPI Information

  • NPI: 1710995295
  • Provider Name: REUBEN GUY HUDSON, MD FAAP
  • Classification: Urology - 2088P0231X
  • Specialization: Pediatric Urology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 305 E JEFFERSON ST
    BOISE, ID
    ZIP 83712
  • Phone: (208) 381-6196

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NPI Details

Reuben Guy Hudson, MD FAAP is a pediatric urology urology in Boise, ID. The provider is surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele). Reuben Guy Hudson, MD FAAP NPI is 1710995295. 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:

305 E JEFFERSON ST
BOISE, ID
ZIP 83712-231
Phone: (208) 381-6196
Fax: (208) 381-6199

The NPI 1710995295 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 8/3/2006 and was last updated on 10/11/2024.

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
12088P0231XUrologyPediatric Urology7161277IDAHOYes
2208800000XUrologyMD25800OREGONNo
3208800000XUrologyMD00048852WASHINGTONNo

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
1213391MEDICAIDOREGON
28425738MEDICAIDWASHINGTON

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: 3/30/2025

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