Provider Demographics
NPI:1043437965
Name:CUMMINGS, JUDD EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:JUDD
Middle Name:EDWARD
Last Name:CUMMINGS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9700 N 91ST ST
Mailing Address - Street 2:STE B108
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5036
Mailing Address - Country:US
Mailing Address - Phone:602-285-8500
Mailing Address - Fax:602-258-8510
Practice Address - Street 1:4614 E SHEA BLVD
Practice Address - Street 2:SUITE D 160
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85028-3070
Practice Address - Country:US
Practice Address - Phone:602-285-8500
Practice Address - Fax:602-258-8510
Is Sole Proprietor?:No
Enumeration Date:2007-04-20
Last Update Date:2017-05-23
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Provider Licenses
StateLicense IDTaxonomies
AZ45467207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery