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Deactivated NPI 1942236211 Deactivated / Inactive NPI Male Practitioner

Dr. Stanley John Dudrick , MD

Surgery • Waterbury, CT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Stanley Dudrick has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 25, 2006
NPI Deactivation Date March 09, 2020
Total Practice Duration ~14 Years of Practice (2006 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. Stanley Dudrick, MD was a registered Surgery practicing in Waterbury, CT. Throughout an active medical career spanning 14 years, Dr. Dudrick provided care at the practice location at 56 FRANKLIN ST until profile deactivation on 2020-03-09.

Practice Location & Contact Primary Location

Practice Address

56 Franklin St

Waterbury, CT 067061221

Telephone 2037096314
Fax 2037096089
Associated Practice Facility / Clinic
🏢 Scovill Medical Group, Pc Facility NPI 1114929379

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Waterbury, CT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.3 Yrs
State Avg: 26.1 Yrs
Regional Practice Density
12 Specialists

Practicing in Waterbury, CT (388 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License CT 034175

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners
Kate Breiner , PA-C

Physician Assistant

NPI 1528676459

Physician Assistant (Certified)

Lisa Tanguay , PA

Physician Assistant - Surgical

NPI 1659307916

Physician Assistant

NPI 1699702357

Doctor of Medicine (M.D.)

Reney Thomas , PA

Physician Assistant - Surgical

NPI 1881623221

Physician Assistant

NPI 1942237516

Doctor of Medicine (M.D.)

Edward Soltesz , PA

Physician Assistant - Surgical

NPI 1962428771

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 09, 2020

Record deactivated on March 09, 2020

NPI Profile Active September 11, 2007

NPI status registered as active in NPPES database

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Updated Practice Location September 11, 2007

Registered at 56 FRANKLIN ST, WATERBURY, CT 067061221 (Tel: 2037096314)

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Updated Business Mailing Address September 11, 2007

Registered at 56 FRANKLIN ST, 3RD FLOOR, WATERBURY, CT 067061221 (Tel: 2037098873)

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Provider Name / Credentials Updated September 11, 2007

Recorded as STANLEY DUDRICK, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2007

Surgery (License #034175 in CT)

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Initial NPI Registration & Enumeration June 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1942236211
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 25, 2006
Last Update: September 11, 2007
Deactivation Date: March 09, 2020

Mailing Address

56 Franklin St, 3rd Floor

Waterbury, CT 067061221

Phone: 2037098873

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.