Physician Compare National (NPI:1245234277)

HEALTHCARE PROVIDER: GREGORY HUDSON MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1245234277
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0042310203
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20131230001158
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HUDSON
	Individual professional last name
Provider First Name	GREGORY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1986
	Individual professional's medical school graduation year
Primary Specialty	PEDIATRIC MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	50 B CTR ST
	Group Practice or individual's line 1 address
City	LUCASVILLE
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	456487826
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y