DR. CAROLYN DUDKO MD
NPI 1750140976
Student in an Organized Health Care Education/Training Program in Myrtle Beach, SC

Q: What is Carolyn Dudko's NPI number?

The NPI number for Carolyn Dudko is 1750140976. It was assigned to this individual provider in the NPPES registry on March 18, 2024.

Q: What is Carolyn Dudko's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carolyn Dudko was last updated on March 18, 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.

Active since March 18, 2024PECOS Enrolled

809 82ND PKWY, MYRTLE BEACH, SC 29572(843) 692-3499 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Carolyn Dudko Md NPPES

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

DR. CAROLYN DUDKO MD (NPI 1750140976) is an individual student in an organized health care education/training program in Myrtle Beach, South Carolina and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1750140976

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. CAROLYN DUDKOCredential: MD

Location Address809 82ND PKWYMyrtle Beach, SC 29572-4607

Mailing Address809 82nd PkwyMyrtle Beach, SC 29572-4607 · (843) 692-3499

Phone(843) 692-3499

Sole ProprietorNo

Enumeration DateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1750140976 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

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.

809 82ND PKWY, Myrtle Beach, SC 29572

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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)

Dr. Carolyn Dudko 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHEASTERN HOSPITALIST SERVICES PC

Hospitalist