Joseph Gregory Dudash, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

35049342D Issued in OH

Practice address

500 Lincoln Park Blvd Ste 220
Kettering, OH 45429-6404

Phone

(937) 294-4487

Fax

(937) 294-2255

NPI assigned

Sep 17, 2006

Last updated

Apr 16, 2019By 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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1437256187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PRESTIGE PLACE",
            "address_2": "SUITE 550",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453426115",
            "telephone_number": "937-762-1306",
            "fax_number": "937-522-7626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LINCOLN PARK BLVD STE 220",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454296404",
            "telephone_number": "937-294-4487",
            "fax_number": "937-294-2255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2510 Commons Blvd Ste 160",
            "address_purpose": "LOCATION",
            "city": "Beavercreek",
            "state": "OH",
            "postal_code": "454313834",
            "country_code": "US",
            "telephone_number": "937-426-0049",
            "fax_number": "937-431-8140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUDASH",
        "first_name": "JOSEPH",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35049342D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0581231",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clifford Grady Dover
• Yvonne Gwyneth Dowdy, M.D.
• Michael Edward Dowler, D.O.
• Rachel Lynn Drake, PA
• Penny B Drazer, CNP
• Laura Dudley
• Sarah Ellsworth Dudley, PA-C
• Elizabeth Mackenzie Dulaney-Cripe, MD
• Jennifer Duly
• Andrew Joseph Dunaway, DO

• Family Medicine Physician in Kettering, OH
• Providers in Kettering, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.