DR. STEPHANIE MAUS RUDDY


Address: 4160 Little York Rd Ste 20, Dayton, OH 45414-5803
Phone: 9374549527

DR. STEPHANIE MAUS RUDDY (NPI# 1154676542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154676542
Entity Type Individual
Full Name DR. STEPHANIE MAUS RUDDY
Other Name DR. STEPHANIE MARIE MAUS
Credential D.O.
Practice Address 4160 Little York Rd Ste 20
Dayton
OH 45414-5803
Practice Telephone 9374549527
Practice Fax Number 9374549532
Mailing Telephone 9374549527
Mailing Fax Number 9374549532
Enumeration Date 2012-07-20
Last Update Date 2018-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
34.012093 OH Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Provider Identifier

State Issuer Identifier Type Code
OH 0315554 05

Office Location

Street Address 4160 LITTLE YORK RD STE 20
City DAYTON
State OH
Zip Code 45414-5803

Providers in the same location

NPI Name Taxonomy Address Enumeration
1881696060 Sameh N Khouzam Internal Medicine 4160 Little York Rd Ste 20, Dayton, OH 45414 2005-06-01
1568962355 Angela Marie Bartlett Registered Nurse 4160 Little York Rd Ste 20, Dayton, OH 45414-5803 2018-02-18
1629596044 Erin Marie Haston Physician Assistant 4160 Little York Rd Ste 20, Dayton, OH 45414-5803 2017-09-06
1871848309 Brendan Anthony Korpanty Internal Medicine 4160 Little York Rd Ste 20, Dayton, OH 45414-5803 2012-07-20
1336354653 Faisal Hayat Internal Medicine 4160 Little York Rd Ste 20, Dayton, OH 45414-5803 2007-05-11

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578047916 Amanda Adkins Counselor 4977 Northcutt Pl, Dayton, OH 45414 2018-09-21
1477062180 Andria Shoebridge Case Manager/Care Coordinator 7695 Poe Ave., Dayton, OH 45414 2017-09-26
1164826871 Joana's Custodial Care Facility 323 Timberlake Drive, Dayton, OH 45414 2014-10-09
1376956839 Shanata Rankins Home Health Aide 3252 Ridge Ave, Dayton, OH 45414 2014-06-03
1689086845 Michelle Laree Cargle-adams Licensed Practical Nurse 6217 Miller Lane, Vandalia, OH 45414 2014-05-22
1962847236 Tessa Skeens Home Health 1914 Palisades Dr, Dayton, OH 45414 2013-05-01
1053661397 Jeffrey Michael Pope Pharmacist 3700 North Dixie Highway, Dayton, OH 45414 2012-09-13
1174871784 Elizabeth Long Counselor 3821 Little York Rd., Dayton, OH 45414 2012-08-29
1265709885 Eddie Dudley Pharmacist 5651 Dixie Ave, Dayton, OH 45414 2011-11-28
1568774743 Martin Nicholas Kanetsky Dentist 6800 N. Dixie Dr., Dayton, OH 45414 2010-07-05
Find all providers in zip 45414

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053773838 Dayton Springfield Heart and Vascular Medicine, LLC Internal Medicine 7111 N. Main St., Suite 50, Dayton, OH 45415-2558 2016-03-22
1306815808 Ceferino J. Cata Internal Medicine 1126 S Main St, Dayton, OH 45409-2687 2006-03-16
1073513404 Stephen P Young Internal Medicine 425 W Grand Ave, Ste. 1003, Dayton, OH 45405-4775 2005-07-28
1871592345 Bal Krishna Srivastava Internal Medicine 5538 Philadelphia Dr Ste B, Dayton, OH 45415-3061 2005-07-18
1598764391 Cardiology Specialists of Dayton Inc. Internal Medicine 4160 Little York Rd, Ste. 20, Dayton, OH 45414-5800 2005-07-14
1801891213 Mohammad Anwarul Kabir Internal Medicine 7111 N Main St, Suite 50, Dayton, OH 45415-2565 2005-06-14
1760484943 Hema Pandrangi Internal Medicine 122 Wyoming St, Dayton, OH 45409-2731 2005-06-01
1033111232 Sudhakar Maraboyina Internal Medicine 1530 Needmore Rd, Ste 300, Dayton, OH 45414-3969 2005-06-01
1881696060 Sameh N Khouzam Internal Medicine 4160 Little York Rd Ste 20, Dayton, OH 45414 2005-06-01
1164425443 Abdelhamed I Abdelhamed Internal Medicine 9000 N Main St, Ste 101, Dayton, OH 45415-1180 2005-05-31
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45414

Improve Information

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Dataset Information

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.

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