Active NPI
Chad Emmett Hudson, MD, PHD
- Obstetrics & Gynecology Physician
- Charleston, SC
National Provider Identifier
1205801743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD39554
- Practice address
- 1616 Ashley River Rd
West Ashley Colonoscopy Center
Charleston, SC 29407 - Phone
- (843) 556-1285
- Fax
- (843) 556-1286
- NPI assigned
- Feb 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | D0063570 | MD | |
| Obstetrics & Gynecology Physician | 207V00000X | MD39554 | SC | Primary |
Addresses
Primary practice location
1616 Ashley River Rd
West Ashley Colonoscopy Center
Charleston, SC 29407
Mailing address
1616 Ashley River Rd
West Ashley Colonoscopy Center
Charleston, SC 29407
Phone (843) 556-1285
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 409277500 | Medicaid | MD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0063570 | MD | MD | Obstetrics & Gynecology Physician |
| MD39554 | SC | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476748800000",
"number": "1205801743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 ASHLEY RIVER RD",
"address_2": "WEST ASHLEY COLONOSCOPY CENTER",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29407",
"telephone_number": "843-556-1285",
"fax_number": "843-556-1286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 ASHLEY RIVER RD",
"address_2": "WEST ASHLEY COLONOSCOPY CENTER",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "29407",
"telephone_number": "843-556-1285",
"fax_number": "843-556-1286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "CHAD",
"middle_name": "EMMETT",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-20",
"last_updated": "2016-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MD",
"license": "D0063570",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "SC",
"license": "MD39554",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "409277500",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.