DR. RUDY THEODORE COBB (NPI# 1346261989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346261989 |
| Entity Type | Individual |
| Full Name | DR. RUDY THEODORE COBB |
| Credential | M.D. |
| Practice Address |
305 College St W Fayetteville TN 37334-2911 |
| Practice Telephone | 9314332488 |
| Practice Fax Number | 9314332489 |
| Mailing Telephone | 9314332488 |
| Mailing Fax Number | 9314332489 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-10-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | M0011699 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 3004292 | 05 | |
| TN | BCBS OF TN | 34725 | 01 |
| TN | UNITEDHEATHCARE | 40011699 | 01 |
| TN | BCBS OF AL | 61195 | 01 |
| Street Address |
305 COLLEGE ST W |
| City | FAYETTEVILLE |
| State | TN |
| Zip Code | 37334-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124588231 | Fayetteville Medical Clinic & Urgent Care | Family Medicine | 305 College St W, Fayetteville, TN 37334-2911 | 2019-03-23 |
| 1205356813 | Elk Valley Medical Clinic, LLC | Clinic/Center | 305 College St W, Fayetteville, TN 37334-2911 | 2017-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902385198 | Denisia Bernadette Maldonado | Specialist/Technologist, Other | 108 Medical Center Blvd., Suite #100, Fayetteville, TN 37334 | 2018-08-09 |
| 1457801011 | Joshua Meadows | Specialist/Technologist | 101 Industrial Blvd, Fayetteville, TN 37334 | 2016-10-07 |
| 1891083762 | Kathryn Clare Moran | Physical Therapist | 1412 Huntsville Hwy, Fayetteville, TN 37334 | 2011-07-13 |
| 1891997714 | Calvin H Parks | Chiropractor | 1321 Huntsville Hwy, Fayetteville, TN 37334 | 2007-06-04 |
| 1225249691 | Stacey Starr Pace | Family Medicine | 1931 Wilson Pky, Suite A, Fayetteville, TN 37334 | 2007-05-25 |
| 1144388992 | Tom Spain Bigham IIi | Dentist | 608 West College Street, Fayetteville, TN 37334 | 2006-12-05 |
| 1932286259 | Alan B Drewry | Dentist | 602 West College Street, Fayetteville, TN 37334 | 2006-11-01 |
| 1083724561 | Samuel Michael Ashby | Internal Medicine | 804 William D Jones Blvd, Fayetteville, TN 37334 | 2006-08-30 |
| 1194336818 | Collin Amos | Pharmacist | 1000 Huntsville Hwy, Fayetteville, TN 37334 | 2020-08-14 |
| 1629450614 | William Daniel | Nurse Practitioner | 106 Medical Center Blvd, Fayetteville, TN 37334 | 2015-06-25 |
| Find all providers in zip 37334 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164763918 | Cynthia J Amram | Surgery | 3015 E Joyce Blvd, Fayetteville, AR 72703-4526 | 2013-03-04 |
| 1275844177 | Yana Mikhaylov | Surgery | 4140 Ferncreek Dr Ste 601, Fayetteville, NC 28314-2569 | 2010-06-24 |
| 1043541725 | Janine Nicole Pettiford | Surgery | 325 North Jeff Davis Dr, Fayetteville, GA 30214 | 2010-01-20 |
| 1548410103 | Erin M King | Surgery | 1260 Highway 54 W Ste 100, Fayetteville, GA 30214-4513 | 2008-09-19 |
| 1881851699 | Timothee J Friesen | Surgery | 1265 Highway 54 W Ste 309, Fayetteville, GA 30214-4537 | 2008-05-20 |
| 1790954352 | Obinna Chukwudi Igwilo | Surgery | 7300 S Raeford Rd Rm 2528, Fayetteville, NC 28304-6162 | 2008-02-27 |
| 1942387055 | Steven Anthony Battaglia | Surgery | 1061 Brunswick Dr, Fayetteville, OH 45118 | 2006-11-01 |
| 1225118441 | David Crump | Surgery | 108 Medical Center Blvd Ste G25, Fayetteville, TN 37334-2741 | 2006-10-16 |
| 1265544035 | Yong S Kwon | Surgery | 1695 E Rainforest Rd, Fayetteville, AR 72703-5385 | 2006-08-31 |
| 1790713675 | Joshua E Roller | Surgery | 1280 E Stearns St, Suite 5, Fayetteville, AR 72703-6241 | 2006-06-29 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 37334 |
Please comment or provide details below to improve the information on DR. RUDY THEODORE COBB.
| 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.