Organization Active NPI

Hudak Family Medicine, PLLC

  • Primary Care Clinic/Center
  • Huntington, WV
National Provider Identifier
1508162702
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
22791 Issued in WV
Legal business name
HUDAK FAMILY MEDICINE, PLLC
Practice address
3246 US Route 60 Ste 5
Huntington, WV 25705-2729
Phone
(304) 733-5990
Fax
(304) 733-5991
NPI assigned
Feb 4, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Jason A Hudak, MDNPI 1740494558
Title
Owner
Phone
(304) 733-5990

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 22791 WV Primary

Addresses

Primary practice location

3246 US Route 60 Ste 5
Huntington, WV 25705-2729

Mailing address

3246 US Route 60 Ste 5
Huntington, WV 25705-2729
Phone (304) 733-5990

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110222000158 WV Part B Supplier - Clinic/Group Practice 8527249721 Receives reassigned benefits from 1 practitioner
Practice locations: Huntington, WV

National Provider Directory

National Provider Directory

Locations

5121 US Route 60
Barboursville, WV 25504
Phone (304) 733-5990

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1508162702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 US ROUTE 60 STE 5",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052729",
            "telephone_number": "304-733-5990",
            "fax_number": "304-733-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 US ROUTE 60 STE 5",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052729",
            "telephone_number": "304-733-5990",
            "fax_number": "304-733-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUDAK FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "HUDAK",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-733-5990",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WV",
            "license": "22791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.