Active NPI
Paul Sherman Dudley, M.D.
- Reproductive Endocrinology Physician
- Seattle, WA
National Provider Identifier
1578690962
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reproductive Endocrinology Physician
- License
- MD00047747
- Practice address
- 1505 Westlake Ave N
Suite 400
Seattle, WA 98109-3050 - Phone
- (206) 301-5000
- Fax
- (206) 285-4555
- NPI assigned
- Feb 27, 2007
- Last updated
- Jul 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reproductive Endocrinology Physician | 207VE0102X | L6868 | TX | |
| Reproductive Endocrinology Physician | 207VE0102X | MD00047747 | WA | Primary |
Addresses
Primary practice location
1505 Westlake Ave N
Suite 400
Seattle, WA 98109-3050
Mailing address
1505 Westlake Ave N
Suite 400
Seattle, WA 98109-3050
Phone (281) 692-9213
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00047747 | WA | MD | Reproductive Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seattle Reproductive Medicine | Reproductive Endocrinology | Past | Accepting new patients |
| Pinnacle Fertility Care Atlanta PC | Reproductive Endocrinology | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Reproductive Endocrinology Physician
- Seattle, WA
- NPI 1366597932
-
- Reproductive Endocrinology Physician
- Atlanta, GA
- NPI 1467236869
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184544000000",
"number": "1578690962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1505 WESTLAKE AVE N",
"address_2": "SUITE 400",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981093050",
"telephone_number": "281-692-9213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1505 WESTLAKE AVE N",
"address_2": "SUITE 400",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981093050",
"telephone_number": "206-301-5000",
"fax_number": "206-285-4555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDLEY",
"first_name": "PAUL",
"middle_name": "SHERMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "TX",
"license": "L6868",
"primary": false
},
{
"code": "207VE0102X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
"state": "WA",
"license": "MD00047747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.