Active NPI
Iris M Hudson, DO
- Anesthesiology Physician
- Buffalo, NY
National Provider Identifier
1467425199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 2025351
- Practice address
- 565 Abbott Road
Buffalo, NY 14220 - Phone
- (716) 826-6628
- Fax
- (716) 828-3448
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 2025351 | NY | Primary |
Addresses
Primary practice location
565 Abbott Road
Buffalo, NY 14220
Mailing address
515 Abbott Road
Suite 410
Buffalo, NY 14220
Phone (716) 826-6628
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01760576 | Medicaid | NY |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025351 | NY | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279152000000",
"number": "1467425199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 ABBOTT ROAD",
"address_2": "SUITE 410",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14220",
"telephone_number": "716-826-6628",
"fax_number": "716-828-3448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 ABBOTT ROAD",
"city": "BUFFALO",
"state": "NY",
"postal_code": "14220",
"telephone_number": "716-826-6628",
"fax_number": "716-828-3448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUDSON",
"first_name": "IRIS",
"middle_name": "M",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2010-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "2025351",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01760576",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.