Organization Active NPI

Valerie Hudson M D P L L C

  • Internal Medicine Physician
  • Harper Woods, MI
National Provider Identifier
1306023536
Registry record updated Apr 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301060360 Issued in MI
Legal business name
VALERIE HUDSON M D P L L C
Practice address
20440 Harper Ave
Harper Woods, MI 48225-1644
Phone
(313) 640-9400
Fax
(313) 640-8878
NPI assigned
Jan 30, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2012

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

Authorized official

Name
Dr. Valerie K Hudson, M.D.NPI 1073662730
Title
Owner
Phone
(313) 640-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 4301060360 MI Primary

Addresses

Primary practice location

20440 Harper Ave
Harper Woods, MI 48225-1644

Mailing address

20440 Harper Ave
Harper Woods, MI 48225-1644
Phone (313) 640-9400

Other names 1

  • Grosse Pointe Pediatrics/Internal Medicine Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110421000653 MI Part B Supplier - Clinic/Group Practice 8224101928 Receives reassigned benefits from 1 practitioner
Practice locations: Harper Woods, MI

National Provider Directory

National Provider Directory

Locations

20440 Harper Ave
#M
Harper Woods, MI 48225
Phone (313) 595-1268

20204 Harper Ave
Harper Woods, MI 48225
Phone (313) 640-9400

20440 Harper Ave
Harper Woods, MI 48225
Phone (313) 640-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334793600000",
    "number": "1306023536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20440 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251644",
            "telephone_number": "313-640-9400",
            "fax_number": "313-640-8878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20440 HARPER AVE",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251644",
            "telephone_number": "313-640-9400",
            "fax_number": "313-640-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE HUDSON M D P L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2012-04-19",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-640-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301060360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grosse Pointe Pediatrics/Internal Medicine",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.