TOMMY L. FUDGE MD – NPI #1164429171
Thoracic Surgery (Cardiothoracic Vascular Surgery)

A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.

TOMMY FUDGE is a thoracic surgeon located in THIBODAUX, LA. NPPES has assigned the NPI number 1164429171 to TOMMY FUDGE on July 05, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208G00000X from the Health Care Provider Taxonomy code set, which is classified as Thoracic Surgery (Cardiothoracic Vascular Surgery).

The NPI profile was previously updated about 8 years ago on Jul 05, 2018. 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 TOMMY FUDGE below.

NPI Profile for
TOMMY L. FUDGE

NPI Number
1164429171
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TOMMY L. FUDGE
Credentials
MD
Primary location
604 N ACADIA RD
SUITE 409
THIBODAUX, LA 70301
Phone: (985) 449-4670 Fax: (985) 449-2598
Mailing address
PO BOX 5478
THIBODAUX, LA 70302-5478
Phone: (985) 449-4670 Fax: (985) 449-2598
Sole Proprietor
No
Updated
Identifiers

Identifiers for TOMMY FUDGE

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.

DescriptionIssuerStateIdentifier
OTHERRR MEDICARELAP00790563
MEDICAIDLA1365475
Taxonomy Code(s)

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
208G00000X
- Thoracic Surgery (Cardiothoracic Vascular Surgery) (Primary)
LA 03512R

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.