Active NPI
John E Dudich, MD
- Anesthesiology Physician
- Wheeling, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 17767
- Practice address
- 1 Medical Park
Wheeling, WV 26003-6379 - Phone
- (304) 233-2455
- Fax
- (304) 233-6073
- NPI assigned
- Feb 26, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 17767 | WV | Primary |
Addresses
Primary practice location
1 Medical Park
Wheeling, WV 26003-6379
Mailing address
PO Box 6732
Wheeling, WV 26003-0656
Phone (304) 233-2455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060788000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Medical College of Ohio, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Medical Park
Wheeling, WV 26003-6379
Phone (304) 243-3000
68 State Route 7
Bridgeport, OH 43912-1642
Phone (740) 676-6600
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17767 | WV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belmont County Health Services Inc | Current | Accepting new patients | |
| Harrison Community Hospital Inc | Anesthesiology | Current | Accepting new patients |
| Harrison Community Hospital, Inc. | Current | Accepting new patients | |
| Wheeling Hospital Inc | Current | Accepting new patients | |
| Wheeling Hospital Ambulatory Surgery Center LLC | Current | Accepting new patients | |
| Wheeling Hospital, Inc. | Anesthesiology | Current | Accepting new patients |
Locations
4697 Harrison St
Bellaire, OH 43906
Phone (304) 234-2000
68 State Route 7
Bridgeport, OH 43912
Phone (740) 676-6600
951 E Market St
Cadiz, OH 43907
Phone (740) 942-4631
800 Wheeling Ave
Glen Dale, WV 26038
Phone (304) 221-4520
1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124
109 Mount Wood Rd
#1
Wheeling, WV 26003
109 Mount Wood Rd
Wheeling, WV 26003
Phone 3042332455146
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Wheeling, WV
- NPI 1548923923
-
- Certified Registered Nurse Anesthetist
- Bridgeport, OH
- NPI 1851949465
-
- Anesthesiology Physician
- Wheeling, WV
- NPI 1922282581
-
- Community/Retail Pharmacy
- Cadiz, OH
- NPI 1588142806
-
- Anesthesiology Physician
- Cadiz, OH
- NPI 1477092955
-
- Critical Access Hospital
- Cadiz, OH
- NPI 1134151137
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glen Dale, WV
- NPI 1144228305
-
- General Acute Care Hospital
- Wheeling, WV
- NPI 1104821305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699801357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6732",
"city": "WHEELING",
"state": "WV",
"postal_code": "260030656",
"telephone_number": "304-233-2455",
"fax_number": "304-233-6073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MEDICAL PARK",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036379",
"telephone_number": "304-233-2455",
"fax_number": "304-233-6073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUDICH",
"first_name": "JOHN",
"middle_name": "E",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WV",
"license": "17767",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0060788000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.