Donald P. Dudley, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G042440 Issued in CA

Practice address

1000 Greenley Rd
Sonora, CA 95370-5200

Phone

(209) 536-3460

NPI assigned

Feb 7, 2006

Last updated

Mar 23, 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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sierra Emergency Medical Group Inc.

  • Emergency Medicine Physician
  • Sonora, CA
  • NPI 1871732933
  Medicare reassignment NPD
• Sonora Community Hospital

  dba Prompt Care Indian Rock

  • Urgent Care Clinic/Center
  • Sonora, CA
  • NPI 1962493791
  NPD

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1497727952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23198 HARDSCRABBLE CT",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953708535",
            "telephone_number": "209-586-9200",
            "fax_number": "209-586-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GREENLEY RD",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953705200",
            "telephone_number": "209-536-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUDLEY",
        "first_name": "DONALD",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G042440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas W Ankrom, MD, Inc
• Carla Iwata Doyle, MOTRL CHT
• Breeanna Duarte
• Daniel Thomas Dubose, MD FACS
• Tresa Irene Duckworth, MSW INTERN
• Jill Yvonne Dudley, PA-C
• Roger Savage Duke, LMFT
• Brainard Andrew Duncan, DDS
• Cassandra Dunlap, PTA
• Ellen Dunn, MFT

• Emergency Medicine Physician in Sonora, CA
• Providers in Sonora, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.