David Edward Dudick, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MT190555 Issued in PA

Practice address

111 S Front St
Internal Medicine Residency Program, Brady Hall 3
Harrisburg, PA 17101-2010

Phone

(717) 782-3131

NPI assigned

Jul 30, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1013107747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 N FRONT ST",
            "address_2": "APT 218",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101059",
            "telephone_number": "267-496-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S FRONT ST",
            "address_2": "INTERNAL MEDICINE RESIDENCY PROGRAM, BRADY HALL 3",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171012010",
            "telephone_number": "717-782-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDICK",
        "first_name": "DAVID",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT190555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL TRAINING NUMBER",
            "identifier": "MT190555",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lei Du, MD
• Angelica Paola Duarte, MD
• Natalie Dubchak, MD
• Dubem Okonkwo
• Melissa Ann Duchesne, CRNP
• Nicole L Dugan, PT, DPT
• Andrew Joseph Dulak, DPT
• Michael Duley, D.O
• Tehya Renee Dull, D.O.
• Nakia Dumas, CNM

• Internal Medicine Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.