Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Philip S Dudak, DC, FNP-C

Individual provider Chiropractor · NPI 1720067051

Dr. Philip S Dudak, DC, FNP-C is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2012, 14 years ago. Practices with Midwest Anesthesia Associates, PC, a 7-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
14
Licensed in
IL, MO
In the registry since
2006
Specialties on file
6
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone: (314) 653-5228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2122 Troy Rd Ste 130, Edwardsville, IL 62025-2540 — (314) 653-5228
  • 5960 Howdershell Rd, Hazelwood, MO 63042-4100 — (314) 895-4141

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209010226 (IL)
Chiropractor Taxonomy 111N00000X · Licence 005778 (MO)
Nurse Practitioner Taxonomy 363L00000X · Licence 2013003629 (MO)
Chiropractor Taxonomy 111N00000X · Licence 038006559 (IL)
Nurse Practitioner Taxonomy 363L00000X · Licence 209010226 (IL)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2013003629 (MO)

Record details

NPI number1720067051
Entity typeIndividual (Type 1)
GenderMale
Credentials DC , FNP-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2006
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Midwest Anesthesia Associates, P.C. — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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