Ann Davina Tuddenham, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

014495 Issued in ME

Practice address

12 Shuman Ave
Augusta, ME 04330-6020

Phone

(855) 239-3556

Fax

(207) 502-1138

NPI assigned

Oct 5, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1679669931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SHUMAN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306020",
            "telephone_number": "855-239-3556",
            "fax_number": "207-502-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SHUMAN AVE",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306020",
            "telephone_number": "855-239-3556",
            "fax_number": "207-502-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUDDENHAM",
        "first_name": "ANN",
        "middle_name": "DAVINA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "ME",
            "license": "014495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "26888099",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph C Trozzi, DC
• True Trusty Dental Group LLC
• Andre D Trzaskowski, DO
• Monica Jenette Tschirhart, MD
• Jason Tseng
• Jessica M Turcotte, LCPC
• Johanna Catherine Baker Turcotte
• Turning Point Pediatric Therapy Network, Inc.
• David C Turro Jr., PA-C
• Deborah Tuttle

• Pediatrics Physician in Augusta, ME
• Providers in Augusta, ME by specialty
• Pediatrics Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.