Stephen Sherman Dudley, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

18258 Issued in WI

Practice address

503 Doctors CT
Oshkosh, WI 54901-2025

Phone

(920) 236-3540

Fax

(920) 236-3546

NPI assigned

Aug 30, 2006

Last updated

May 15, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Eye Clinic of the Fox Valley SC

  • Optometrist
  • Oshkosh, WI
  • NPI 1003925892
  Authorized official Same address or phone
• Eye Clinic of the Fox Valley SC

  • Eyewear Supplier
  • Oshkosh, WI
  • NPI 1669524633
  Authorized official Same address or phone
• Optivision Eye Care LLP

  • Optometrist
  • Appleton, WI
  • NPI 1043386600

  Ophthalmology

  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242345600000",
    "number": "1386753523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 DOCTORS CT",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012025",
            "telephone_number": "920-236-3540",
            "fax_number": "920-236-3546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 DOCTORS CT",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549012025",
            "telephone_number": "920-236-3540",
            "fax_number": "920-236-3546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "STEPHEN",
        "middle_name": "SHERMAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2009-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WI",
            "license": "18258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "180018601",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CP7959",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31233200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared Martin Drummond, AU.D.
• Gary Dubester, D.D.S.
• Matt J Dubie
• Dudley Family Dental LLC
• Ronald Lee Dudley, D.D.S.
• Meg Duffield
• Michael A Duffy, MD
• Bryce Dunathan
• Karen Louise Dustrude, DDS
• Eric C Duwell, MD

• Ophthalmology Physician in Oshkosh, WI
• Providers in Oshkosh, WI by specialty
• Ophthalmology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2009; 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.