DR. GARY FUDEM (M.D.) – Plastic and Reconstructive Surgery Physician, NPI 1336123454

DR. GARY FUDEM (M.D.) is a healthcare provider. based in Seattle, Washington. specializing in Plastic and Reconstructive Surgery Physician. They hold the professional credentials M.D.. They hold a License No. MD60484351 (WA). The NPI Number for DR. GARY FUDEM (M.D.) is 1336123454

Main info

Male
Name
DR. GARY FUDEM (M.D.)
NPI
1336123454
Phone
(206) 744-5735
Address
325 9TH AVE
Enumeration Date
1 December 2005
Last Update Date
17 December 2014
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. GARY FUDEM (M.D.)

  • Harborview Medical Center, 325, 9th Avenue, Little Saigon, First Hill, Seattle, King County, Washington, 98104, United States

    DEPARTMENT OF PLASTIC & RECONSTRUCTIVE SURGERY

    SEATTLE, WA 981042420

    Phone: (206) 744-5735

    Type: Location

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (206) 543-6420

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 98104)

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Frequently asked questions

Where can patients find DR. GARY FUDEM (M.D.)'s NPI?
You can confirm DR. GARY FUDEM (M.D.) with NPI 1336123454; it appears in the national provider directory.
Is DR. GARY FUDEM (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. GARY FUDEM (M.D.)?
The page reflects Plastic and Reconstructive Surgery Physician for DR. GARY FUDEM (M.D.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. GARY FUDEM (M.D.)?
The page summarizes Seattle, Washington for DR. GARY FUDEM (M.D.); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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