WILLIAM RUDDER JR. (NPI# 1033159058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033159058 |
| Entity Type | Individual |
| Full Name | WILLIAM RUDDER JR. |
| Credential | CRNA |
| Practice Address |
21 Bridgeway Rd North Little Rock AR 72113-9514 |
| Mailing Address |
1415 Breckenridge Dr Suite B Little Rock AR 72227-4819 |
| Practice Telephone | 5012277797 |
| Practice Fax Number | 5012277753 |
| Mailing Telephone | 5012277797 |
| Mailing Fax Number | 5012277753 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | C00252 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 158489799 | 05 |
| Street Address |
21 BRIDGEWAY RD |
| City | NORTH LITTLE ROCK |
| State | AR |
| Zip Code | 72113-9514 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962473306 | The Bridgeway, LLC | Psychiatric Hospital | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2006-02-01 |
| 1578178000 | Jennifer Lea Meyers | Dietitian, Registered | 21 Bridgeway Rd, North Little Rock, AR 72113-9516 | 2020-09-11 |
| 1174813067 | Danielle N Bell | Psychiatry & Neurology | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2011-04-12 |
| 1629308457 | Ralph Whitlock Jr. | Registered Nurse | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2009-12-29 |
| 1801026828 | Lauren Clare Pickens | Social Worker | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2009-07-24 |
| 1104070697 | Megan Rebecca Holt | Social Worker | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2008-11-10 |
| 1265657274 | Jan Alexander | Psychiatry & Neurology | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2007-04-16 |
| 1528168200 | Matthew James Crouch | Psychiatry & Neurology | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2006-09-23 |
| 1558469163 | William Jeffrey Palmer | Psychiatry & Neurology | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2006-09-20 |
| 1750487567 | Brian Joseph Neukirch | Psychiatry & Neurology | 21 Bridgeway Rd, North Little Rock, AR 72113-9514 | 2006-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104347814 | Shasta Dockery | Registered Nurse | 15020 Wade Blvd., North Little Rock, AR 72113 | 2017-07-03 |
| 1235669839 | Robert Mitchell Fisher | Specialist/Technologist | 134 Vienne Pl, Maumelle, AR 72113 | 2017-06-15 |
| 1932516887 | Healthcare Express, LLP | Clinic/Center | 11819 Maumelle Blvd., North Little Rock, AR 72113 | 2014-07-11 |
| 1184997991 | Preston Lewis | Speech-Language Pathologist | 14 Braeswood Place, Maumelle, AR 72113 | 2012-02-10 |
| 1740437813 | Jennifer L Franklin | Social Worker | 115 Audubon Dr Ste 9a, Maumelle, AR 72113 | 2008-08-20 |
| 1861655912 | Dawn Melton Mulkern | Dietitian, Registered | 12 Ninth Fairway Loop, Maumelle, AR 72113 | 2008-07-09 |
| 1902028723 | Robin Reynolds | Dietitian, Registered | 9300 White Oak Crossing, N Little Rock, AR 72113 | 2007-05-02 |
| 1316096498 | Caretech Medical, Inc. | Durable Medical Equipment & Medical Supplies | 8010 Counts Massie Rd, Suite B, North Little Rock, AR 72113 | 2007-01-09 |
| 1548318470 | Supermarket Investors Inc | Pharmacy | 1117 Audubon Dr, Maumelle, AR 72113 | 2007-01-08 |
| 1821177353 | Maumelle Investments & Associates, LLC | Skilled Nursing Facility | 103 Alexandria Drive, Maumelle, AR 72113 | 2006-11-03 |
| Find all providers in zip 72113 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992860589 | Charles E. Garner | Nurse Anesthetist, Certified Registered | 3401 Springhill Dr Ste 155, North Little Rock, AR 72117-2934 | 2006-12-26 |
| 1467533091 | Jamie Sue Shahan | Nurse Anesthetist, Certified Registered | 5201 N Shore Dr, North Little Rock, AR 72118-5312 | 2006-10-18 |
| 1942621479 | Kyle Smith | Nurse Anesthetist, Certified Registered | 3805 Mccain Park Dr, Suite 105, North Little Rock, AR 72116-7803 | 2013-12-31 |
| 1801217344 | Kristen Schneider | Nurse Anesthetist, Certified Registered | 3805 Mccain Park Dr, Suite 105, North Little Rock, AR 72116-7803 | 2013-12-31 |
| 1457790206 | Megan L Wells | Nurse Anesthetist, Certified Registered | 3805 Mccain Park Dr, Suite 105, North Little Rock, AR 72116-7803 | 2013-06-14 |
| 1619211554 | Daniel Jay Halpain | Nurse Anesthetist, Certified Registered | 3805 Mccain Park Dr, Suite 105, North Little Rock, AR 72116-7803 | 2012-11-15 |
| 1861764763 | Monica Jane Lovejoy | Nurse Anesthetist, Certified Registered | 3401 Springhill Dr Ste 155, North Little Rock, AR 72117-2934 | 2012-02-08 |
| 1114203130 | Kelly D. Mitchell | Nurse Anesthetist, Certified Registered | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2011-10-24 |
| 1023315041 | Dustin J Brazil | Nurse Anesthetist, Certified Registered | 3333 Springhill Dr, North Little Rock, AR 72117-2922 | 2011-02-28 |
| 1043470487 | Robert W Conner | Nurse Anesthetist, Certified Registered | 3343 Springhill Dr, North Little Rock, AR 72117-2929 | 2008-06-10 |
| Find all providers in NORTH LITTLE ROCK | ||||
| City | NORTH LITTLE ROCK |
| Zip Code | 72113 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.