Organization Active NPI

Eugene Hudyma DPM PA LLC

  • Foot Surgery Podiatrist
  • Glen Burnie, MD
National Provider Identifier
1174842314
Registry record updated Nov 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
00888 Issued in MD
Legal business name
EUGENE HUDYMA DPM PA LLC
Practice address
7836 Oakwood Rd Ste a
Glen Burnie, MD 21061-4298
Phone
(410) 768-6011
Fax
(410) 768-6012
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2010

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

Authorized official

Name
Dr. Eugene O Hudyma, DPM
Title
President
Phone
(410) 768-6011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
379248000MedicaidMD
480034105OtherMDPALMETTO GBA MEDICARE RAILROAD

National Provider Directory

National Provider Directory

Locations

815 Winters Ln
Catonsville, MD 21228
Phone (410) 747-1440

804 S Camp Meade Rd
Linthicum, MD 21090
Phone (410) 859-8900

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1174842314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7836 OAKWOOD RD 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 STE A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210614298",
            "telephone_number": "410-768-6011",
            "fax_number": "410-768-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUGENE HUDYMA DPM PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "HUDYMA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-768-6011",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 RAILROAD",
            "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 Nov 11, 2010; 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.