DAVID ELLIOTT MUDGE PA
NPI 1073829818
Physician Assistant - Medical in Phoenix, AZ

Active since August 30, 2010PECOS Enrolled
50 E DUNLAP, STE 105, PHOENIX, AZ 85020(602) 944-4626(602) 944-2805 Get Directions Write a Review

NPPES record last updated: October 5, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Elliott Mudge Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DAVID ELLIOTT MUDGE PA (NPI 1073829818) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (3207) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073829818
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDAVID ELLIOTT MUDGECredential: PA
Location Address50 E DUNLAP, STE 105Phoenix, AZ 85020
Mailing Address50 E. Dunlap, Ste 105Phoenix, AZ 85020 · (602) 944-4626 · Fax (602) 944-2805
Fax(602) 944-2805
Sole ProprietorNo
Enumeration DateAugust 30, 2010
Last NPPES UpdateOctober 5, 2011
NPI 1073829818 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in AZ · 3207
50 E DUNLAP, Phoenix, AZ 85020

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

David Elliott Mudge Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is David Mudge's NPI number?

The NPI number for David Mudge is 1073829818. It was assigned to this individual provider in the NPPES registry on August 30, 2010.

Where is David Mudge located?

David Mudge practices at 50 E Dunlap Ste 105, Phoenix, AZ 85020. The listed phone number is (602) 944-4626.

What is David Mudge's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is David Mudge enrolled in Medicare?

Yes. David Mudge is registered in the Medicare PECOS enrollment system.

What insurance does David Mudge accept?

Health plans from Imperial Insurance Companies, Inc. list David Mudge as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for David Mudge was last updated on October 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.