Individual provider Active NPI

Paul Hudock, MD

  • Obstetrics & Gynecology Physician
  • Cleveland, OH
National Provider Identifier
1548210362
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
35-063974 Issued in OH
Practice address
6900 Pearl Rd Ste 300
Cleveland, OH 44130-3640
Phone
(440) 884-9000
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35-063974 OH
Obstetrics & Gynecology Physician 207V00000X 35-063974 OH Primary

Addresses

Primary practice location

6900 Pearl Rd Ste 300
Cleveland, OH 44130-3640

Mailing address

PO Box 638269
Cincinnati, OH 45263-1719
Phone (440) 884-9000

Other practice location 1

4065 Center Rd Ste 220
Brunswick, OH 44212-5325
Phone (330) 558-0070

Other practice location 2

3985 Medina Rd Ste 200
Medina, OH 44256-5354
Phone (330) 952-2251

Other identifiers 1

IdentifierTypeStateIssuer
0978232MedicaidOH

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address phudock@direct.swgeneral.com Southwest General Medical Group Inc
Direct Messaging Address phudock@direct.swgeneral.com Southwest General Medical Group Inc
Direct Messaging Address phudock@direct.swgeneral.com Southwest General Medical Group Inc

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20080314000180 OH Practitioner - Obstetrics/Gynecology 3274618210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cleveland ClinicGroup PAC ID 1850203555, 6,954 clinicians

Practice addresses (Care Compare)

9500 Euclid Ave
Cleveland, OH 44195-0001
Phone (216) 444-6116

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-063974OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Cleveland Clinic Foundation CurrentSince Sep 24, 2021 Accepting new patients
Fairview Hospital Past Accepting new patients

Locations

2001 E Royalton Rd
Broadview Hts, OH 44147
Phone (440) 717-5800

18099 Lorain Ave
Cleveland, OH 44111
Phone (216) 251-9000

18101 Lorain Ave
Cleveland, OH 44111
Phone (216) 476-7029

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

7007 Powers Blvd
Parma, OH 44129
Phone (440) 743-4000

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Interoperability endpoints

  • Direct secure messaging: phudock@direct.swgeneral.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1548210362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 638269",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631719",
            "telephone_number": "440-884-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PEARL RD STE 300",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441303640",
            "telephone_number": "440-884-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4065 Center Rd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "OH",
            "postal_code": "442125325",
            "country_code": "US",
            "telephone_number": "330-558-0070",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3985 Medina Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "OH",
            "postal_code": "442565354",
            "country_code": "US",
            "telephone_number": "330-952-2251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUDOCK",
        "first_name": "PAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-063974",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35-063974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0978232",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phudock@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group Inc",
            "address_1": "6900 Pearl Rd Ste 300",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441303640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phudock@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group Inc",
            "address_1": "4065 Center Rd Ste 220",
            "city": "Brunswick",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442125325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phudock@direct.swgeneral.com",
            "affiliation": "Y",
            "affiliationName": "Southwest General Medical Group Inc",
            "address_1": "3985 Medina Rd Ste 200",
            "city": "Medina",
            "state": "OH",
            "country_code": "US",
            "postal_code": "442565354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.