Active NPI
Timothy B Hudson MD PC
- Psychiatry Physician
- Casper, WY
National Provider Identifier
1366528507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 7106A
- Legal business name
- TIMOTHY B HUDSON MD PC
- Practice address
- 2417 East 15TH Street
Casper, WY 82609 - Phone
- (307) 237-1702
- Fax
- (307) 472-2259
- NPI assigned
- Oct 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Bartlett Hudson, MD
- Title
- President
- Phone
- (307) 237-1702
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 7106A | WY | Primary |
Addresses
Primary practice location
2417 East 15TH Street
Casper, WY 82609
Mailing address
2417 East 15TH Street
Casper, WY 82609
Phone (307) 237-1702
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Terre Haute, IN
- NPI 1134312895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1189728000000",
"number": "1366528507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2417 EAST 15TH STREET",
"city": "CASPER",
"state": "WY",
"postal_code": "82609",
"telephone_number": "307-237-1702",
"fax_number": "307-472-2259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2417 EAST 15TH STREET",
"city": "CASPER",
"state": "WY",
"postal_code": "82609",
"telephone_number": "307-237-1702",
"fax_number": "307-472-2259"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TIMOTHY B HUDSON MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-31",
"last_updated": "2007-09-14",
"status": "A",
"authorized_official_last_name": "HUDSON",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "BARTLETT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "307-237-1702",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WY",
"license": "7106A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casper, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.