COLLEEN RUDDY


Address: 205 Glenburn Rd, Clarks Green, PA 18411-2534
Phone: 5705755421

COLLEEN RUDDY (NPI# 1346888690) 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) 1346888690
Entity Type Individual
Full Name COLLEEN RUDDY
Credential VISION SPECIALIST
Practice Address 205 Glenburn Rd
Clarks Green
PA 18411-2534
Mailing Address Po Box 810
Clarks Summit
PA 18411-0810
Practice Telephone 5705755421
Mailing Telephone 5705755421
Enumeration Date 2019-12-17
Last Update Date 2019-12-17
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist Other Service Providers
N 253Z00000X In Home Supportive Care Agencies

Provider Secondary Practice Location

Address Telephone Number Fax Number
4 Lexington Ave Apt 7c, New York, NY 100105461 5705755421

Office Location

Street Address 205 GLENBURN RD
City CLARKS GREEN
State PA
Zip Code 18411-2534

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881228153 Hayley Nicole Zelinka Physical Therapist 1000 Edella Road, South Abington, PA 18411 2020-02-26
1023657269 Erica Lynn Bednarz Physical Therapist 1001 Scenic Drive, Clarks Summit, PA 18411 2020-01-06
1386298842 Gj-mac Enterprises LLC In Home Supportive Care 506 N State Street, Clarks Summit, PA 18411 2019-08-01
1609392117 Colleen Marie Dougherty Nurse Practitioner 1145 Northern Boulevard, South Abington, PA 18411 2017-08-16
1629438312 Christopher Oyede Psychiatry & Neurology 1508 Applewood Acres, South Abington, Clarks Summit, PA 18411 2016-02-24
1194107326 Russell Zapko Physical Medicine & Rehabilitation 100 Edella Road, South Abington, PA 18411 2015-06-24
1952719619 Geisinger Clinic Family Medicine 790 North Blvd, Suite K, Clarks Summit, PA 18411 2014-07-25
1437428182 Gloria Marie Gigliotti Behavioral Analyst 718 South State Street, Caregivers of America, Clsarks Summit, PA 18411 2011-12-27
1790064137 John D Cacciamani Internal Medicine 1345 Glenview Rd., Clarks Summit, PA 18411 2011-08-16
1235372418 Five Star Quality Care-ghv, LLC Assisted Living Facility 950 Morgan Highway, Clarks Summit, PA 18411 2009-04-17
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346863909 Courtney Romain-lopez Specialist 301 Lenape Trl, Allentown, PA 18104-8531 2020-05-18
1235751116 Steven Charles Snyder Specialist 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 2020-05-13
1083236582 Chelsea Meadows Specialist 693 Topaz Dr, Lancaster, PA 17603-5864 2020-05-07
1982224655 Eric Rickin Md LLC Specialist 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 2020-04-22
1134748510 Beaver County Regenerative Wellness Centers PC Specialist 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 2020-04-15
1780203414 Essence Allen-presley Specialist 252 Melrose Ave, Lansdowne, PA 19050-2532 2020-04-13
1174156012 Sade Yolanda Davis Specialist 2414 N Garnet St, Philadelphia, PA 19132-3725 2020-02-19
1487285094 Kim O'toole Specialist 105 Hay Rd, Milford, PA 18337-9020 2020-02-01
1437789740 Kate Beer Specialist 3357 W 43rd St, Erie, PA 16506-4233 2020-01-26
1336783141 Nicole Skowronek Specialist 1500 Horizon Dr Ste 120d, Chalfont, PA 18914-3966 2019-11-05
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Competitor

Search similar providers

City CLARKS GREEN
Zip Code 18411

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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