Stanley David Hudnall, M.D.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

J2611 Issued in TX

Practice address

310 Cedar Street
BML 116B
New Haven, CT 06520-8023

Phone

(203) 737-1221

Fax

(203) 785-3583

NPI assigned

Nov 10, 2006

Sex

Male

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

Other names 1

• S. David Hudnall Other name

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1760553093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 CEDAR STREET",
            "address_2": "BML 116B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208023",
            "telephone_number": "203-737-1221",
            "fax_number": "203-785-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 CEDAR STREET",
            "address_2": "BML 116B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065208023",
            "telephone_number": "203-737-1221",
            "fax_number": "203-785-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDNALL",
        "first_name": "STANLEY",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "TX",
            "license": "J2611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134518302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "S.",
            "last_name": "HUDNALL",
            "middle_name": "DAVID",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Yili Huang, D.O.
• Daniel Huben
• Ashley Huber, MD
• Steffen Huber, MD
• Jillian Huberty
• Eric A Huebner, MD, PHD
• Tessa Huelsman, PHARMD
• Monique Marie Huertas
• John Joseph Hufnagle IV, MD
• Jennifer A Hughes, APRN

• Clinical Pathology/Laboratory Medicine Physician in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Pathology/Laboratory Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.