Robert James Hudson

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

020672-L Issued in PA

Practice address

1609 Pitt Street Rte. 30 -East
Jennerstown Medical Center
Jennerstown, PA 15547-0210

Phone

(814) 629-6621

Fax

(814) 629-6622

NPI assigned

Mar 27, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Robert Hudson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174641104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1609 PITT STREET RTE. 30 -EAST",
            "address_2": "JENNERSTOWN MEDICAL CENTER",
            "city": "JENNERSTOWN",
            "state": "PA",
            "postal_code": "155470210",
            "telephone_number": "814-629-6621",
            "fax_number": "814-629-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1609 PITT STREET RTE. 30 -EAST",
            "address_2": "JENNERSTOWN MEDICAL CENTER",
            "city": "JENNERSTOWN",
            "state": "PA",
            "postal_code": "155470210",
            "telephone_number": "814-629-6621",
            "fax_number": "814-629-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "020672-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "HUDSON",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Conemaugh Health Initiatives (Conemaugh Physician Group - Jennerstown)
• Conemaugh Health Initiatives (Conemaugh Physician Group- Family Medicine- Jennerstown)
• DLP Conemaugh Physician Practices LLC (Conemaugh Physician Group - Jennerstown)
• Gloria Jean Foster, MT
• Tiffany Kelly Helman, MD
• Jennerstown Volunteer Fire Department
• Theresa Krouse, BSN, RN, FNP-S
• Jacqueline M. Martella, RPH
• Alexander G Paterson, MD
• Christina Sutton Pienkowski, PHARMD

• General Practice Dentistry in Jennerstown, PA
• Providers in Jennerstown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.