Individual provider Active NPI

Roger J Hudgins, MD

  • Neurological Surgery Physician
  • Orlando, FL
National Provider Identifier
1700830833
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
ME138199 Issued in FL
Practice address
615 E Princeton St Ste 101
Orlando, FL 32803-1435
Phone
(407) 236-0006
Fax
(407) 236-0007
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X ME138199 FL Primary
Neurological Surgery Physician 207T00000X 35.094337 OH

Addresses

Primary practice location

615 E Princeton St Ste 101
Orlando, FL 32803-1435

Mailing address

615 E Princeton St Ste 101
Orlando, FL 32803-1435
Phone (407) 236-0006

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

LicenseStateTypeSpecialty
ME138199FLMDNeurological Surgery Physician
35.094337OHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Neurosurgery Associates at Children'S, LLC Neurological Surgery PastSince Jan 1, 2007 Accepting new patients
Central Georiga Fertility Institute 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1700830833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031435",
            "telephone_number": "407-236-0006",
            "fax_number": "407-236-0007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E PRINCETON ST STE 101",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328031435",
            "telephone_number": "407-236-0006",
            "fax_number": "407-236-0007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDGINS",
        "first_name": "ROGER",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "ME138199",
            "primary": true
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "OH",
            "license": "35.094337",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2019; 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.