Samuel Kenneth Hudgeons, DO

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

Practice address

1585 3Rd St BLDG 285
Fort Johnson, LA 71459-5102

Phone

(337) 531-3118

NPI assigned

Oct 11, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1633910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1043972797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 DRAGOON LOOP BLDG 1260",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "714595242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST BLDG 285",
            "city": "FORT JOHNSON",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGEONS",
        "first_name": "SAMUEL",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-11",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam.hudgeons@okstate.edu",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "?",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "sam.hudgeons@okstate.edu",
            "address_1": "1111 W 17th St",
            "address_2": "f 1111 W 17th St",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "74107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joyce M Hewitt, DSW
• Angela Hinrichsen
• James H Hsiau, O.D.
• Melissa Anne Huband, PTA
• Allison Elizabeth Hubner, DPT
• Sheena Anniece Jackson, CRNA
• Kelly Nichole Jenkins, LCSW
• Caleb O Johnson, DPT
• Quinne Johnson, OTR/L, OTD
• Lillian Rozanski Keppinger, RD

• Military Health Care Provider in Fort Johnson, LA
• Providers in Fort Johnson, LA by specialty
• Military Health Care Provider in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.