Active NPI
Eugene O Hudyma, DPM
- Foot Surgery Podiatrist
- Glen Burnie, MD
National Provider Identifier
1144205808
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot Surgery Podiatrist
- License
- 00888
- Practice address
- 7836 Oakwood Rd
Ste a
Glen Burnie, MD 21061-4298 - Phone
- (410) 768-6011
- Fax
- (410) 768-6012
- NPI assigned
- Dec 14, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 00888 | MD | Primary |
Addresses
Primary practice location
7836 Oakwood Rd
Ste a
Glen Burnie, MD 21061-4298
Mailing address
7836 Oakwood Rd
Ste a
Glen Burnie, MD 21061-4298
Phone (410) 768-6011
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 379248000 | Medicaid | MD | |
| 480034105 | Other | MD | PALMETTO GBA MEDICARE RR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HCR Manorcare Medical Services of Florida LLC | Past | Accepting new patients | |
| Podiatry Affiliates, P.a. | Foot Surgery | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Primary Podiatric Medicine Podiatrist
- Baltimore, MD
- NPI 1871716860
Foot Surgery
-
- Nurse Practitioner
- Toledo, OH
- NPI 1386750420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287014400000",
"number": "1144205808",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7836 OAKWOOD RD",
"address_2": "STE A",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614298",
"telephone_number": "410-768-6011",
"fax_number": "410-768-6012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7836 OAKWOOD RD",
"address_2": "STE A",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210614298",
"telephone_number": "410-768-6011",
"fax_number": "410-768-6012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDYMA",
"first_name": "EUGENE",
"middle_name": "O",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-14",
"last_updated": "2010-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "MD",
"license": "00888",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "379248000",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO GBA MEDICARE RR",
"identifier": "480034105",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glen Burnie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.