Sam J Hudson

Primary specialty

AudiologistTaxonomy code 231H00000X

License

1601000464 Issued in MI

Practice address

1803 Whites Rd
Suite 1-B
Kalamazoo, MI 49008-2883

Phone

(269) 373-7585

Fax

(269) 363-7588

NPI assigned

Jun 6, 2007

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

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paragon Health PCGroup PAC ID 1658283007, 52 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Paragon Health, PC

  • Ophthalmology Physician
  • Kalamazoo, MI
  • NPI 1275582249
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522368000000",
    "number": "1922201250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S US HIGHWAY 131",
            "city": "THREE RIVERS",
            "state": "MI",
            "postal_code": "490938831",
            "telephone_number": "269-858-3311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 WHITES RD",
            "address_2": "SUITE 1-B",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490082883",
            "telephone_number": "269-373-7585",
            "fax_number": "269-363-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SAM",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2018-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MI",
            "license": "1601000464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Huan
• Wynneth Huang, PA-C
• Molly Hubbard, LMSW
• Ryian Hubbard, OTRL
• Zoe Hudok
• Julianne Jilson Hudspeth
• Elizabeth Huff Willis
• Laurel Huff
• Ashley Huffman, LMSW
• Mary Kathleen Huffman, LPC

• Audiologist in Kalamazoo, MI
• Providers in Kalamazoo, MI by specialty
• Audiologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.