| Reuben Guy Hudson, MD FAAP | |
|
305 E Jefferson St, Boise, ID 83712-6231 | |
| (208) 381-6196 | |
| (208) 381-6199 |
| Full Name | Reuben Guy Hudson |
|---|---|
| Gender | Male |
| Speciality | Urology - Pediatric Urology |
| Location | 305 E Jefferson St, Boise, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710995295 | NPI | - | NPPES |
| 213391 | Medicaid | OR | |
| 8425738 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2088P0231X | Urology - Pediatric Urology | 7161277 (Idaho) | Primary |
| 208800000X | Urology | MD25800 (Oregon) | Secondary |
| 208800000X | Urology | MD00048852 (Washington) | Secondary |
| Entity Name | Swedish Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689612954 PECOS PAC ID: 0244138196 Enrollment ID: O20031230000187 |
| Mailing Address | Practice Location Address |
|---|---|
| Reuben Guy Hudson, MD FAAP 190 E Bannock St, Boise, ID 83712-6241 Ph: () - | Reuben Guy Hudson, MD FAAP 305 E Jefferson St, Boise, ID 83712-6231 Ph: (208) 381-6196 |
Sean Patrick Stroup, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 510 N 2nd St Ste 103, Boise, ID 83702 Phone: 208-381-4700 | |
Dr. Kara C Taggart, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 510 N 2nd St, Suite 103, Boise, ID 83702 Phone: 208-381-4700 Fax: 208-381-4977 | |
Michele B Ebbers, MD Urology Medicare: Medicare Enrolled Practice Location: 305 E Jefferson St, Boise, ID 83712 Phone: 208-381-6196 Fax: 208-381-6199 | |
Dr. Donald E Walker, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 701 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-344-5757 Fax: 208-381-6526 | |
Robert E. Jackson, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 520 S Eagle Rd, Suite 3112, Boise, ID 83712 Phone: 208-381-2222 | |
Dr. Edwin Manley Briggs, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1316 Harrison Blvd, Boise, ID 83702 Phone: 208-345-5523 Fax: 208-389-4606 | |
Dr. Stephen A. Brassell, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 100 E Idaho St, Boise, ID 83712 Phone: 208-381-2222 |