Look up the most recent NPI and PECOS records

Ryan Dudley

Anesthesiology

Allopathic & Osteopathic Physicians

PECOS Enrollment

Based on the most recent information from CMS, provider Ryan Dudley is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1124553326
Provider Type
Individual
Full Name
Dudley, Ryan
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/25/2017
Last Updated
8/1/2022

Contact Information

Practice Location

101 W 8th Ave, Spokane, WA 99204-2307

(509) 474-3181

Unlisted Fax

Mailing Location

PO Box 4069, Everett, WA 98204-0007

(425) 407-1000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207L00000X Primary	Description Anesthesiology Allopathic & Osteopathic Physicians	License MD61267880 Washington
Code 207L00000X	Description Anesthesiology Allopathic & Osteopathic Physicians	License 10990016-1205 Utah

Ryan Dudley

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Thompson, Susan

Darais, Aaron

Johnson, Eric

Aaron, Paul

Jones, Kelly Patrick

Providence Health & Service- Washington

Gerding, James

Scott, Alexander

Ward, Sabrina Cherise

Bettesworth, Jacob