| Dudley A Hudspeth, MD | |
| 485 S Dobson Rd, Ste 111, Chandler, AZ 85224-5600 | |
| (480) 407-4999 | |
| (480) 407-4998 | 
| Full Name | Dudley A Hudspeth | 
|---|---|
| Gender | Male | 
| Speciality | Thoracic Surgery (cardiothoracic Vascular Surgery) | 
| Location | 485 S Dobson Rd, Chandler, Arizona | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1205835493 | NPI | - | NPPES | 
| 5915635 | Medicaid | NC | |
| 320060 | Medicaid | AZ | |
| Z76591 | Other | AZ | GROUP PIN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 208600000X | Surgery | 32737 (North Carolina) | Secondary | 
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 23299 (Arizona) | Primary | 
| Entity Name | Yuma Regional Medical Center | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Dudley A Hudspeth, MD 485 S Dobson Rd, Ste 111, Chandler, AZ 85224-5600 Ph: (480) 407-4999 | Dudley A Hudspeth, MD 485 S Dobson Rd, Ste 111, Chandler, AZ 85224-5600 Ph: (480) 407-4999 | 
| Dr. Sarah Jane Counts, DO Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 485 S Dobson Rd Ste 100, Chandler, AZ 85224 Phone: 602-406-4000 Fax: 602-406-6498 | |
| John M Tedesco, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Medicare Enrolled Practice Location: 485 S Dobson Rd Ste 100, Chandler, AZ 85224 Phone: 602-406-4000 Fax: 602-406-6498 | |
| Kenneth A Ashton, MD Thoracic Surgery (Cardiothoracic Vascular Surgery) Medicare: Accepting Medicare Assignments Practice Location: 485 S Dobson Rd Ste 203, Chandler, AZ 85224 Phone: 480-728-2690 Fax: 480-728-2689 |