DR. MICHAEL PATRICK RUDOLPH (NPI# 1295732923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295732923 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL PATRICK RUDOLPH |
| Credential | DO |
| Practice Address |
305 S State St Aberdeen SD 57401-4527 |
| Mailing Address |
Po Box 9168 Minneapolis MN 55480-9168 |
| Practice Telephone | 6056222142 |
| Practice Fax Number | 6056225127 |
| Mailing Telephone | 8668258303 |
| Mailing Fax Number | 8665827105 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2012-02-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | DO0000001935 | TN | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 02003014A | IN | Allopathic & Osteopathic Physicians |
| N | 207L00000X | Anesthesiology | 3564 | IA | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
3564 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | CAQH NUMBER | 11507531 | 01 |
| IA | WELLMARK GROUP # | 50171 | 01 |
| IA | 0442343 | 05 | |
| IN | ANTHEM PROVIDER NUMBER | 000000391600 | 01 |
| IA | 0120733 | 05 | |
| SD | MEDICAL LICENSE | 4571 | 01 |
| IN | 200802530 | 05 | |
| IN | PHCS PID NUMBER | 9265107 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366878514 | Michael J Rudolph | Counselor | 20800 Westgate Prof Center, Suite 200, Fairview, OH 44126 | 2013-09-19 |
| 1942499058 | Michael Jay Rudolph | Pharmacist | 15141 Whittier Blvd Ste 115, Whittier, CA 90603-2160 | 2007-10-15 |
| 1912193335 | Michael Franklin Rudolph | Dentist | 22 Pleasantville Rd, Dentist Office, Ossining, NY 10562-4436 | 2007-09-19 |
| 1972997161 | Michael Rudolph | Family Medicine | 14300 Orchard Pkwy, Westminster, CO 80023-9206 | 2015-03-25 |
| 1619296563 | Michael Rudolph | Internal Medicine | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2010-05-18 |
| 1730305905 | Michael Lawrence Rudolph | Dentist | 2104 E Center St, Warsaw, IN 46580-3704 | 2007-04-17 |
| 1700999000 | Michael Bennett Rudolph | Internal Medicine | 300 Seaside Ave, Milford, CT 06460-4603 | 2006-08-17 |
| 1982624524 | Michael Rudolph | Internal Medicine | 2680 Saturn Ave, Suite 203, Huntington Park, CA 90255-4143 | 2006-07-19 |
| Street Address |
305 S STATE ST |
| City | ABERDEEN |
| State | SD |
| Zip Code | 57401-4527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790789543 | Russell C Pietz | Family Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2005-06-09 |
| 1942824701 | Stacy Lynn Anderson | Pharmacist | 305 S State St, Aberdeen, SD 57401-4527 | 2020-06-07 |
| 1124502646 | Avera St Luke's | Emergency Medicine | 305 S State St, Aberdeen, SD 57401-4527 | 2018-09-20 |
| 1689150252 | Kim Susanne Kram | Specialist/Technologist | 305 S State St, Aberdeen, SD 57401-4527 | 2018-07-17 |
| 1144769522 | Gerhard Marx | Social Worker | 305 S State St, Aberdeen, SD 57401-4527 | 2017-02-17 |
| 1851771133 | Susan Gutenkauf | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-06-02 |
| 1538548649 | Melanie C Erickson | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-21 |
| 1639557184 | Carrie Ann Werth | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1861870404 | Buckley D Norris | Occupational Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-15 |
| 1285012005 | Jason Stolp | Physical Therapist | 305 S State St, Aberdeen, SD 57401-4527 | 2015-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679002950 | Brenda Lee Pence | Registered Nurse | 305 S. State St., Aberdeen, SD 57401 | 2017-06-08 |
| 1104366475 | Jordan Shangreaux | Specialist/Technologist | 2200 S Roosevelt St, Aberdeen, SD 57401 | 2017-03-06 |
| 1205387545 | Midwest Medical Transport Company, LLC-aberdeen, Sd | Ambulance | 2919 Industrial Avenue, Aberdeen, SD 57401 | 2016-10-21 |
| 1356752471 | Cameron Eichler Enterprises | Hearing Aid Equipment | 110 6th Ave Se Ste 106, Aberdeen, SD 57401 | 2014-05-12 |
| 1184059412 | Richard Allen Ward IIi | Hearing Instrument Specialist | 1315 6th Avenue Se, Suite 4, Aberdeen, SD 57401 | 2013-09-05 |
| 1427395540 | Matthew William Svensen | Physical Therapist | 1109 S Jay St, Aberdeen, SD 57401 | 2013-01-09 |
| 1750655940 | Robert Ashly Froke | Audiologist | 121 4th Ave Sw-suite 1, Natural Hearing Center, Aberdeen, SD 57401 | 2012-03-06 |
| 1457504862 | Rodney S Johnson | Counselor | 14 S Main St Ste 1e, Aberdeen, SD 57401 | 2008-10-29 |
| 1518115005 | Dakota Chiropractic of Aberdeen, PC | Chiropractor | 520 Moccasin Drive, Aberdeen, SD 57401 | 2008-09-09 |
| 1558554626 | Tiffany Zimmerman Hoeft | Speech-Language Pathologist | 39515 Pintail Ave, Aberdeen, SD 57401 | 2007-08-22 |
| Find all providers in zip 57401 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538465760 | Shelly Sharma | Anesthesiology | 1340 Hwy 34, Aberdeen, NJ 07747-1947 | 2011-02-05 |
| 1891749792 | Ronald Allen Myers | Anesthesiology | 916 N N St, Aberdeen, WA 98520-3334 | 2006-05-22 |
| 1750334637 | Coastal Physician Anesthesia, Ps | Anesthesiology | 915 Anderson Dr, Aberdeen, WA 98520-1006 | 2006-05-19 |
| 1265499024 | Christalene Louis Saldanha | Anesthesiology | 1111 Beards Hill Road, Suite 700, Aberdeen, MD 21001-2275 | 2006-04-27 |
| 1003881251 | Susan W Ramig | Anesthesiology | 905 N 3rd St, Aberdeen, SD 57401-2322 | 2006-02-21 |
| 1205823978 | Christian Andrew Eby | Anesthesiology | 3015 3rd Ave Se, Aberdeen, SD 57401-5418 | 2005-09-28 |
| 1891073003 | Avera St. Luke's | Anesthesiology | 305 S State St, Aberdeen, SD 57401 | 2011-07-22 |
| 1306162540 | Susan W. Ramig M.d., Ltd. | Anesthesiology | 905 N 3rd St, Aberdeen, SD 57401-2322 | 2010-04-13 |
| 1992036701 | Jill Leah Larsen | Anesthesiology | 305 S State St, Aberdeen, SD 57401-4527 | 2010-01-18 |
| 1578707717 | Adam Joseph Lefebvre | Anesthesiology | 305 S State St, Aberdeen, SD 57401-4527 | 2009-04-30 |
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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.