DR. LEE ANTHONY DUDLEY (DO) – Emergency Medicine Physician, NPI 1215960026

DR. LEE ANTHONY DUDLEY (DO) is a healthcare provider. based in Saint louis, Missouri. specializing in Emergency Medicine Physician. They hold the professional credentials DO. They hold a License No. 336.091115 (IL). The NPI Number for DR. LEE ANTHONY DUDLEY (DO) is 1215960026

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. LEE ANTHONY DUDLEY (DO)
NPI
1215960026
Phone
(937) 286-1148
Address
1030 Highlands Plaza Dr E
Enumeration Date
8 July 2006
Last Update Date
17 November 2020

Doctor Profile

Medical School Name
OHIO UNIVERSITY, COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
7737364553
Graduation Year
1998 (28 years ago)
PAC ID
2365335288
Group Practice PAC ID
2860716685
Professional Enrollment ID
I20120523000530
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience88
Completeness75
Years active:19State licenses:12Digital endpointsOther names

Provider Addresses for DR. LEE ANTHONY DUDLEY (DO)

  • 1030 Highlands Plaza Dr E

    Apt 108

    Saint Louis, MO 631101348

    Phone: (937) 286-1148

    Type: Location

  • South Harper Avenue, Pullman, Chicago, Hyde Park Township, Cook County, Illinois, United States

    CHICAGO, IL 606154119

    Phone: (773) 983-1635

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 63110)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2860716685View full group profile
NameSpecialtyState
DR. MICHAEL SCOTT OLSEN (M.D.)
Emergency MedicineIL
ASHLEY IANNANTONE (MD)
Emergency Medicine, Addiction MedicineIL
GRACE NABIL JOSEPH (M.D.)
Emergency MedicineIL
JANAE HOHBEIN
Emergency MedicineIL
MR. JACOB JONATHAN WHITE (PA)
Physician AssistantIL
JULIE MARIE JACOBS (APN-CNP)
-IL
JEREMY SOEDER (APRN-FPA)
Nurse PractitionerIL
ANTHONY ANIBAL ACOSTA (M.D.)
-IL
DR. CAROL A GILMORE (MD)
-TX
JAN WIACEK (MD)
-IL

Reviews

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Frequently asked questions

What is the 10-digit NPI for DR. LEE ANTHONY DUDLEY (DO)?
DR. LEE ANTHONY DUDLEY (DO) — NPI 1215960026 — is the standard way to identify this listing.
Does the file indicate DR. LEE ANTHONY DUDLEY (DO) is practicing under active NPI?
Directory data currently reports DR. LEE ANTHONY DUDLEY (DO) as active.
What taxonomy line describes DR. LEE ANTHONY DUDLEY (DO)?
For research purposes, treat DR. LEE ANTHONY DUDLEY (DO) as Emergency Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for DR. LEE ANTHONY DUDLEY (DO)?
DR. LEE ANTHONY DUDLEY (DO)'s geographic hint is Saint Louis, Missouri in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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