Active NPI
Maria F. Hudish, P.A.-C.
- Medical Physician Assistant
- York, PA
National Provider Identifier
1033182449
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA000647L
- Practice address
- 80 Wyntre Brooke Dr
York, PA 17403-4535 - Phone
- (717) 741-9462
- Fax
- (717) 741-4399
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA000647L | PA | Primary |
Addresses
Primary practice location
80 Wyntre Brooke Dr
York, PA 17403-4535
Mailing address
80 Wyntre Brooke Dr
York, PA 17403-4535
Phone (717) 741-9462
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02377500 | Other | PW | CAPITAL BLUE CROSS |
| 606644 | Other | PA | HIGHMARK BLUE SHIELD |
| 136324 | Other | PA | HEALTH AMERICA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA000647L | PA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1291852800000",
"number": "1033182449",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 WYNTRE BROOKE DR",
"city": "YORK",
"state": "PA",
"postal_code": "174034535",
"telephone_number": "717-741-9462",
"fax_number": "717-741-4399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 WYNTRE BROOKE DR",
"city": "YORK",
"state": "PA",
"postal_code": "174034535",
"telephone_number": "717-741-9462",
"fax_number": "717-741-4399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDISH",
"first_name": "MARIA",
"middle_name": "F.",
"name_prefix": "Ms.",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2010-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA000647L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "02377500",
"state": "PW"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "606644",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH AMERICA",
"identifier": "136324",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in York, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.