STANLEY E DUDEK MD NPI 1962552794

Otolaryngology in East Lansing, MI

NPI 1962552794 Individual Male Otolaryngology

About STANLEY DUDEK

Stanley Dudek is a provider established in East Lansing, Michigan and his medical specialization is otolaryngology. The NPI number of Stanley Dudek is 1962552794 and was assigned on January 2007. The practitioner's primary taxonomy code is 207Y00000X with license number 4301039222 (MI). The provider is registered as an individual and his NPI record was last updated 14 years ago.

Stanley Dudek is a non-participating provider of Medicare. If you are a Medicare beneficiary this means the provider can charge up to 15% more than Medicare's approved amount for the cost of rendered services, in addition to your normal deductible and coinsurance costs. There are some states that restrict the limiting charge when you see non-participating provider. If you pay the full cost of your care up front, your non- participating provider should still submit a claim to Medicare. Afterward, you should receive reimbursement from Medicare for up 80% of the Medicare-approved amount for the services rendered.

NPI

1962552794

Provider Name STANLEY E DUDEK MD
Provider Location Address2121 ABBOTT RD SUITE3 EAST LANSING, MI 48823
Provider Mailing Address2121 ABBOTT RD SUITE3 EAST LANSING, MI 48823
GenderMale
NPI Entity TypeIndividual
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date01-12-2007
Last Update Date12-28-2007


Primary Taxonomy

Taxonomy Code207Y00000X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
License No.4301039222
License StateMI
Taxonomy DescriptionAn otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

Business Address

STANLEY E DUDEK MD
2121 ABBOTT RD
SUITE3
EAST LANSING, MI
ZIP 48823
Phone: (517) 351-6000
Fax: (517) 351-0473

Get Directions


Mailing Address

STANLEY E DUDEK MD
2121 ABBOTT RD
SUITE3
EAST LANSING, MI
ZIP 48823
Phone: (517) 351-6000
Fax: (517) 351-0473



Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
4457854MEDICAID (05)MI
D91266MEDICARE UPIN (02)MI
0N57120MEDICARE ID-TYPE UNSPECIFIED (04)MI
1007002OTHER (01)MI
4414142OTHER (01)MI

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760523435DR. DANIEL R KLEIN DDS
Individual
Dentist (Pediatric Dentistry)2121 ABBOTT RD
EAST LANSING, MI 48823
(517) 337-0032
1427306273DR. JAMES MICHAEL MASHNI DDS
Individual
Dentist (General Practice)2121 ABBOTT RD
EAST LANSING, MI 48823
(517) 351-1733

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.