Organization Active NPI

Hudson Healthcare Services, LLC

Doing business as Gator Family Chiropractic

  • Chiropractor
  • Gainesville, FL
National Provider Identifier
1073642062
Registry record updated Apr 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HUDSON HEALTHCARE SERVICES, LLC
Doing business as
Gator Family Chiropractic
Practice address
4423 NW 6TH PL
Unit C
Gainesville, FL 32607-6115
Phone
(352) 332-6555
Fax
(352) 332-4419
NPI assigned
Mar 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2011

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

Authorized official

Name
Dr. Deborah Gwen Hudson, D.C.NPI 1437226909
Title
Owner
Phone
(352) 332-6555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

4423 NW 6TH PL
Unit C
Gainesville, FL 32607-6115

Mailing address

4423 NW 6TH PL
Unit C
Gainesville, FL 32607-6115
Phone (352) 332-6555

Other names 1

  • Gator Family Chiropractic Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070428000096 FL Part B Supplier - Clinic/Group Practice 9234235896 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, FL

National Provider Directory

National Provider Directory

Locations

4423 NW 6th Pl
Ste C
Gainesville, FL 32607
Phone (352) 325-2276

5024 NW 27th Ct
Gainesville, FL 32606
Phone (352) 332-6555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303344000000",
    "number": "1073642062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 NW 6TH PL",
            "address_2": "UNIT C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076115",
            "telephone_number": "352-332-6555",
            "fax_number": "352-332-4419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 NW 6TH PL",
            "address_2": "UNIT C",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326076115",
            "telephone_number": "352-332-6555",
            "fax_number": "352-332-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDSON HEALTHCARE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2011-04-21",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "GWEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-332-6555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gator Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.