Ida Hudson, DO

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

010076L Issued in PA

Practice address

800 Spruce St
Phila, PA 19107-6130

Phone

(215) 829-5664

NPI assigned

Nov 1, 2005

Last updated

Jan 5, 2010By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Society Hill Anesthesia Consultants, PC

  • Anesthesiology Physician
  • Philadelphia, PA
  • NPI 1427003219
  NPD (past)
• Delaware Coastal Anesthesia LLC

  • Anesthesiology Physician
  • Dover, DE
  • NPI 1730127820
  NPD (past)
• Seaford Endoscopy Center LLC

  • Endoscopy Clinic/Center
  • Seaford, DE
  • NPI 1578608642
  NPD (past)

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

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1275524084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 EMERSON RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198021210",
            "telephone_number": "302-764-7060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 SPRUCE ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191076130",
            "telephone_number": "215-829-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "IDA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-01",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "010076L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wydia S Houston, LCSW
• Ryan Kudray Howe, PA-C
• Amanda Howell, MD
• Kevin Gochan Huang, M.D.
• Jean Huck, CRNP
• Otila Tricia Huggins, LPN
• Sherita Hughes, LCSW
• Stephen P Hunger, MD
• Jasmine Ivy Hurt, RN, MSN
• Phillip Trien Huynh, O.D.

• Anesthesiology Physician in Phila, PA
• Providers in Phila, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.