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Active NPI 1679163984 Individual Practitioner Female Practitioner

Mallory Hudson

Physician Assistant • West Bloomfield, MI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Mallory Hudson is a certified Physician Assistant practicing in West Bloomfield, MI. With approximately 5 years of clinical experience since graduating from Wayne State University School Of Medicine in 2021, Mallory Hudson delivers high-quality medical care to the local community at 5839 W MAPLE RD STE 100.

Mallory Hudson is affiliated with Uwh Of Michigan Plc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Practice Location & Contact Primary Location

Practice Address

5839 W Maple Rd Ste 100

West Bloomfield, MI 483222278

Telephone 2488627221
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Wayne State University School Of Medicine

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in West Bloomfield, MI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs -5.9 yrs vs City Avg
City Avg: 10.9 Yrs
State Avg: 12.2 Yrs
Regional Practice Density
89 Specialists

Practicing in West Bloomfield, MI (7057 Statewide)

Telehealth Adoption Rate
9.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hudson (5 Years) 5 Yrs
West Bloomfield Specialty Average (10.9 Years) 10.9 Yrs

Medical Specialties & State Licenses

CMS Verified: 2025-10-29
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MI 5601010568

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Uwh Of Michigan Plc

5839 W Maple Rd, West Bloomfield, MI 483222278

Phone: 2488627221

Uwh Of Michigan Plc

46325 W 12 Mile Rd, Novi, MI 483772461

Phone: 2484651200

Secondary Practice Locations

5793 W Maple Rd Ste 147

West Bloomfield, MI 483224478

Phone: 2488627221

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Lori Shoha , MD

Obstetrics & Gynecology

NPI 1588645519

Doctor of Medicine (M.D.)

Dr. Jay Fisher , MD

Obstetrics & Gynecology

NPI 1811970171

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2025

Student in an Organized Health Care Education/Training Program

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 21, 2025

Nurse Practitioner (License #5601010568 in MI)

📍
Updated Practice Location July 25, 2024

Registered at 5839 W MAPLE RD STE 100, WEST BLOOMFIELD, MI 483222278 (Tel: 2488627221)

📍
Updated Business Mailing Address July 25, 2024

Registered at 39555 ORCHARD HILL PL STE 600, NOVI, MI 483755381 (Tel: 5174843000)

NPI Profile Active January 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2021

Registered at 259 MACK AVE, DETROIT, MI 482012427 (Tel: 3135771716)

📍
Updated Business Mailing Address January 20, 2021

Registered at 259 MACK AVE, DETROIT, MI 482012427

👤
Provider Name / Credentials Updated January 20, 2021

Recorded as MALLORY HUDSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration January 20, 2021

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: 1679163984
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2021
Last Update: October 29, 2025
Sole Proprietor: No

Mailing Address

39555 Orchard Hill Pl Ste 600

Novi, MI 483755381

Phone: 5174843000

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.