Organization Active NPI

John H. Judd, MD, PA

  • Specialist
  • Abilene, TX
National Provider Identifier
1891891099
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
E7630 Issued in TX
Legal business name
JOHN H. JUDD, MD, PA
Practice address
6250 Regional Plaza
Suite 1016
Abilene, TX 79606
Phone
(325) 695-8620
Fax
(325) 695-8682
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Authorized official

Name
Dr. John Howard Judd Jr., M.D.
Title
President
Phone
(325) 695-8620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X E7630 TX Primary

Addresses

Primary practice location

6250 Regional Plaza
Suite 1016
Abilene, TX 79606

Mailing address

6250 Regional Plaza
Suite 1016
Abilene, TX 79606
Phone (325) 695-8620

Other identifiers 2

IdentifierTypeStateIssuer
87N487OtherTXPHYSICIANS ASSISTANT
82380JOtherTXORTHOPEDIC SURGEON

National Provider Directory

National Provider Directory

Locations

3102 S Clack St
Ste 1
Abilene, TX 79606

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190332800000",
    "number": "1891891099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6250 REGIONAL PLAZA",
            "address_2": "SUITE 1016",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-695-8620",
            "fax_number": "325-695-8682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6250 REGIONAL PLAZA",
            "address_2": "SUITE 1016",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "79606",
            "telephone_number": "325-695-8620",
            "fax_number": "325-695-8682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN H. JUDD, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-09-21",
        "status": "A",
        "authorized_official_last_name": "JUDD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "325-695-8620",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "E7630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS ASSISTANT",
            "identifier": "87N487",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOPEDIC SURGEON",
            "identifier": "82380J",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2007; 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.