Carol Ann Ludolph, M.D.

Primary specialty

Addiction Medicine (Anesthesiology) PhysicianTaxonomy code 207LA0401X

License

MD033514E Issued in PA

Practice address

802 Meadowbrook Dr
Huntingdon Valley, PA 19006-6924

Phone

(267) 626-2018

Fax

(267) 636-5205

NPI assigned

Apr 14, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Addiction Medicine

Education

Pennsylvania State University College of Medicine, 1976

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Quantum Health Practice, LLC

  • Pain Medicine Physician
  • Jenkintown, PA
  • NPI 1497299085
  Medicare reassignment
• Apm Urgent Care

  • Urgent Care Clinic/Center
  • Elkins Park, PA
  • NPI 1780064733
  NPD (past)
• Neurosurgical Associates

  • Neurological Surgery Physician
  • Philadelphia, PA
  • NPI 1639299837
  NPD (past)

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

{
    "created_epoch": "1176508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1972728145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 MEADOWBROOK DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066924",
            "telephone_number": "267-626-2018",
            "fax_number": "267-636-5205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 MEADOWBROOK DR",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190066924",
            "telephone_number": "267-626-2018",
            "fax_number": "267-636-5205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDOLPH",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-14",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "PA",
            "license": "MD033514E",
            "primary": false
        },
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "PA",
            "license": "MD033514E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001032090001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Linaweaver, LBS
• Gene Linetsky, DPM
• Julie Linneman
• Kristi Ann Lochmann, COTAL
• Lower Moreland Township School District
• James A Lutz, LCSW QCSW
• Sarah Lynch, PSY.D.
• Allene S. Lyons, LCSW
• Evangeline Soriano Macatangay I, MD
• Paul Macdonald, MA

• Anesthesiology Physician in Huntingdon Valley, PA
• Providers in Huntingdon Valley, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.