Individual provider Active NPI

Anne Hudson Angevine, M.D.

  • Medical Oncology Physician
  • Stamford, CT
National Provider Identifier
1376668004
Registry record updated Dec 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
45726 Issued in CT
Practice address
1 Hospital Plaza
Stamford, CT 06904-9317
Phone
(203) 276-2695
Fax
(203) 975-7842
NPI assigned
Mar 20, 2007
Last updated
Dec 29, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 227192 NY
Medical Oncology Physician 207RX0202X 45726 CT Primary

Addresses

Primary practice location

1 Hospital Plaza
Stamford, CT 06904-9317

Mailing address

14 Westway
Bronxville, NY 10708-4311
Phone (203) 276-2695

Other identifiers 2

IdentifierTypeStateIssuer
004000360MedicaidCT
1376668004OtherCTNPI

Other names 1

  • Dr. Anne Elizabeth Hudson Former name

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

State licenses

LicenseStateTypeSpecialty
227192NYMDHematology & Oncology Physician
45726CTMDMedical Oncology Physician

NPI Registry JSON

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577577600000",
    "number": "1376668004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WESTWAY",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107084311",
            "telephone_number": "203-276-2695",
            "fax_number": "203-975-7842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL PLAZA",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069049317",
            "telephone_number": "203-276-2695",
            "fax_number": "203-975-7842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGEVINE",
        "first_name": "ANNE",
        "middle_name": "HUDSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2019-12-29",
        "certification_date": "2019-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "227192",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CT",
            "license": "45726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004000360",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1376668004",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "HUDSON",
            "middle_name": "ELIZABETH",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2019; 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.