Organization Active NPI

Raymond F Hudanich MD PA

  • Gynecology Physician
  • Plantation, FL
National Provider Identifier
1164558672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME13658 Issued in FL
Legal business name
RAYMOND F HUDANICH MD PA
Practice address
6710 W Sunrise Blvd
Suite 110
Plantation, FL 33313-6066
Phone
(954) 316-1140
Fax
(954) 316-8259
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Raymond Franklin Hudanich, MD
Title
President
Phone
(954) 316-1140

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X ME13658 FL Primary

Addresses

Primary practice location

6710 W Sunrise Blvd
Suite 110
Plantation, FL 33313-6066

Mailing address

6710 W Sunrise Blvd
Suite 110
Plantation, FL 33313-6066
Phone (954) 316-1140

Other identifiers 2

IdentifierTypeStateIssuer
0986293OtherFLCIGNA
06869OtherFLBCBS

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164558672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 W SUNRISE BLVD",
            "address_2": "SUITE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136066",
            "telephone_number": "954-316-1140",
            "fax_number": "954-316-8259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6710 W SUNRISE BLVD",
            "address_2": "SUITE 110",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333136066",
            "telephone_number": "954-316-1140",
            "fax_number": "954-316-8259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND F HUDANICH MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUDANICH",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-316-1140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME13658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0986293",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "06869",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.