MEDICARE: DR. MICHAEL JAMES HUDSON M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	01046281A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	000000085184	OTHER	IN	BCBS BMG SCHWARTZ
3	000000085183	OTHER	IN	BCBS BMG MAIN STREET
4	000000085182	OTHER	IN	BCBS MEMORIAL CHILDRENS HOSPITAL
5	000000989683	OTHER	IN	BCBS BMG IRELAND RD

General Provider Information

NPI Number	:	1548258742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL JAMES HUDSON M.D.

Provider Business Mailing Address
First Line	:	710 N NILES AVE
Second Line	:
City	:	SOUTH BEND
State	:	IN
Zip	:	46617-1924
Country	:	US
Telephone Number	:	574-647-1610
Fax Number	:

Provider Business Practice Location Address
First Line	:	6913 N MAIN ST
Second Line	:
City	:	GRANGER
State	:	IN
Zip	:	46530-8039
Country	:	US
Telephone Number	:	574-647-1500
Fax Number	:	574-243-4343

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	07/25/2016

Similar Medicare Providers

1922712058 — NICOLE JOY MINNICH
Practice Location Address:

6913 N MAIN ST
GRANGER, IN
46530-8039

Practice Phone: 574-647-1500
Practice Fax: 574-243-4306

1518019462 — DR. MICHAEL D WARNER PH.D., L.M.F.T.
Practice Location Address:

6913 N MAIN ST
GRANGER, IN
46530-8039

Practice Phone: 574-271-9828
Practice Fax: 574-243-4310

1922093871 — DR. SHELLY STYONS HARKINS MD
Practice Location Address:

6913 N MAIN ST
GRANGER, IN
46530-8039

Practice Phone: 574-647-1500
Practice Fax: 574-243-4310

1982691747 — MS. SHERRI JO BIEVER FNP
Practice Location Address:

6913 N MAIN ST STE 200
GRANGER, IN
46530-8039

Practice Phone: 574-647-4540
Practice Fax: 574-647-2567

1285622373 — DR. SCOTT MICHAEL ESHOWSKY M.D.
Practice Location Address:

6913 N MAIN ST STE 300
GRANGER, IN
46530-8039

Practice Phone: 574-647-1500
Practice Fax: 574-647-2567

1487644175 — DR. CAROL J MANN MD
Practice Location Address:

6913 N MAIN ST
GRANGER, IN
46530-8039

Practice Phone: 574-647-1500
Practice Fax: 574-243-4306

Directions to “ DR. MICHAEL JAMES HUDSON M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.