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CAROLYN GEORGEANNE JUDGE MD
NPI 1710449855
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since April 05, 2019PECOS Enrolled
1500 E. MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION B, ANN ARBOR, MI 48109(734) 936-5850(734) 647-4285 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 19, 2024, Apr 5, 2019 (2 updates tracked since 2019).

About Carolyn Georgeanne Judge Md NPPES

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

CAROLYN GEORGEANNE JUDGE MD (NPI 1710449855) is an individual student in an organized health care education/training program in Ann Arbor, Michigan, licensed in Michigan (4351052217) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710449855
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCAROLYN GEORGEANNE JUDGECredential: MD
Location Address1500 E. MEDICAL CENTER DRIVE, SPC 5856, FCVC 3RD FLOOR, RECEPTION BAnn Arbor, MI 48109-5856
Mailing Address1500 E Medicine Center Drive, 5346 Cvc, Spc, 5867Ann Arbor, MI 48109-5867
Phone(734) 936-5850
Fax(734) 647-4285
Sole ProprietorNo
Enumeration DateApril 5, 2019
Last NPPES UpdateApril 19, 20242 updates tracked since enumeration
NPPES CertifiedApril 12, 2024
✔ NPI 1710449855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in MI · 4351052217
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1500 E. MEDICAL CENTER DRIVE, SPC 5856, Ann Arbor, MI 48109
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Georgeanne Judge Md 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 Carolyn Judge's NPI number?

The NPI number for Carolyn Judge is 1710449855. It was assigned to this individual provider in the NPPES registry on April 5, 2019.

Where is Carolyn Judge located?

Carolyn Judge practices at 1500 E. Medical Center Drive, Spc 5856 Fcvc 3rd Floor, Reception B, Ann Arbor, MI 48109. The listed phone number is (734) 936-5850.

What is Carolyn Judge's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Carolyn Judge enrolled in Medicare?

Yes. Carolyn Judge is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carolyn Judge was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.