David M Pudles, D.O.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

OS005343L Issued in PA

Practice address

2831 Tyson Ave
Philadelphia, PA 19149-1415

Phone

(215) 624-2487

Fax

(215) 624-0874

NPI assigned

Jun 2, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194566400000",
    "number": "1548208770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2831 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491415",
            "telephone_number": "215-624-2487",
            "fax_number": "215-624-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2831 TYSON AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491415",
            "telephone_number": "215-624-2487",
            "fax_number": "215-624-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUDLES",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2007-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PA",
            "license": "OS005343L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Public Health Mangement Corporation
• Public Health Mangement Corporation
• Kristy N Pucci, OTR/L, ATP
• Russell J Puche, LCSW
• Kelly Rose Pucillo, CRNA
• Abigail Pudpud, D.O.
• Puentes de Salvd
• Cara J Puff, IBCLC
• Carter Pugh, BA
• Chantel Pugh

• General Practice Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; 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.