Organization Active NPI

Victor Ludewig MD PC

  • Gastroenterology Physician
  • Plattsburgh, NY
National Provider Identifier
1881727352
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1123371 Issued in NY
Legal business name
VICTOR LUDEWIG MD PC
Practice address
77 Plaza Blvd
Plattsburgh, NY 12901-6438
Phone
(518) 562-7462
NPI assigned
Mar 14, 2007
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Victor Werner Ludewig, MDNPI 1235118142
Title
Owner
Phone
(518) 562-7462

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 1123371 NY Primary

Addresses

Primary practice location

77 Plaza Blvd
Plattsburgh, NY 12901-6438

Mailing address

77 Plaza Blvd
Plattsburgh, NY 12901-6438
Phone (518) 562-7462

Other identifiers 1

IdentifierTypeStateIssuer
00470773MedicaidNY

National Provider Directory

National Provider Directory

Locations

77 Plaza Blvd
#101
Plattsburgh, NY 12901
Phone (518) 562-7171

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1881727352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PLAZA BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016438",
            "telephone_number": "518-562-7462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PLAZA BLVD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016438",
            "telephone_number": "518-562-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR LUDEWIG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "LUDEWIG",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "WERNER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-562-7462",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1123371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00470773",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.