Marianne B Hudgins, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

114452 Issued in MO

Practice address

6420 Prospect Avenue
Suite T101
Kansas City, MO 64132-1186

Phone

(816) 363-4100

Fax

(816) 363-8201

NPI assigned

Oct 31, 2005

Last updated

Nov 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Marianne Blackmon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1245221233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12639 OLD TESSON RD",
            "address_2": "SUITE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282786",
            "telephone_number": "816-363-4100",
            "fax_number": "816-363-8201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 PROSPECT AVENUE",
            "address_2": "SUITE T101",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641321186",
            "telephone_number": "816-363-4100",
            "fax_number": "816-363-8201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "MARIANNE",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "114452",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-26395",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209006808",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIANNE",
            "last_name": "BLACKMON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Noor-Ul Huda, M.D.
• Michael Christopher Hudak, D.C.
• John W Huddart, DDS
• Chelsey Huddleston
• Chetan P Huded, MD
• Jennifer Christine Hudson, APN
• Randall B Hudson, MD
• Robyn Hudson
• Sean Hudson
• Vashon Hudson, BSN, RN

• Internal Medicine Physician in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.

Verify at the official NPI Registry.