JEFFREY W. CHUDOBA MD – NPI #1104811322
Radiology
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
JEFFREY CHUDOBA is a radiologist located in KLAMATH FALLS, OR. NPPES has assigned the NPI number 1104811322 to JEFFREY CHUDOBA on September 14, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology
The NPI profile was previously updated about 12 years ago on Jun 23, 2014. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEFFREY CHUDOBA below.
NPI Profile for
JEFFREY W. CHUDOBA
(about 21 years ago)
KLAMATH FALLS, OR 97601-7101 Phone: (541) 205-3974 Fax: (541) 205-5652
KLAMATH FALLS, OR 97602-0326 Phone: (541) 205-5652 Fax: (541) 205-3974
Identifiers for JEFFREY CHUDOBA
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | CA | XPY192082 | |
| MEDICAID | OR | 232545 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 2085R0202X - Radiology / Diagnostic Radiology (Primary) |
OR | MD21637 |
| 2085R0204X - Radiology / Vascular & Interventional Radiology |
OR | MD21637 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.
Additional Information
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
JEFFREY CHUDOBA is affiliated with the following medical group(s):
- HOSPITAL
- SKY LAKES MEDICAL CENTER2865 DAGGETT AVENUE
KLAMATH FALLS, OR 97601 - ST CHARLES MEDICAL CENTER - BEND2500 NE NEFF ROAD
BEND, OR 97701
- SKY LAKES MEDICAL CENTER2865 DAGGETT AVENUE
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