RICHARD DOUGLAS RUCKER JR. (NPI# 1750340808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750340808 |
| Entity Type | Individual |
| Full Name | RICHARD DOUGLAS RUCKER JR. |
| Credential | MD PHD |
| Practice Address |
795 Middle St Fall River MA 02721-1733 |
| Practice Telephone | 5086745600 |
| Practice Fax Number | 5086755611 |
| Mailing Telephone | 5086745600 |
| Mailing Fax Number | 5086755611 |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2013-06-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 58164 | MA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 23186 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 993565700 | 05 | |
| MN MEDICAL LICENSE | 23186 | 01 | |
| MA | MASSACHUSETTS LICENSE | 58164 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659477685 | Richard Michael Rucker | Internal Medicine | 10931 Cherry St, Suite 300, Los Alamitos, CA 90720-2445 | 2006-09-16 |
| Street Address |
795 MIDDLE ST |
| City | FALL RIVER |
| State | MA |
| Zip Code | 02721-1733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661540 | Leonid Gershman | Anesthesiology | 795 Middle St, Fall River, MA 02721-1733 | 2005-07-06 |
| 1598305856 | Autumn Makowski | Dietitian, Registered | 795 Middle St, Fall River, MA 02721-1798 | 2020-01-14 |
| 1306481270 | Lauren Theresa Stanley | Physician Assistant | 795 Middle St, Fall River, MA 02721-1733 | 2019-11-14 |
| 1346883345 | Kristin Cabral | Nurse Practitioner | 795 Middle St, Fall River, MA 02721-1798 | 2019-10-22 |
| 1164076899 | Julia Margaret Sylvia | Nurse Practitioner | 795 Middle St, Fall River, MA 02721-1733 | 2019-07-31 |
| 1811549231 | Kerry Maccini | Emergency Medicine | 795 Middle St, Fall River, MA 02721-1798 | 2019-07-15 |
| 1043871064 | Courtney L Faiola | Dietitian, Registered | 795 Middle St, Fall River, MA 02721-1733 | 2019-06-21 |
| 1740774090 | Danielle Leigh Capece | Physician Assistant | 795 Middle St, Fall River, MA 02721 | 2018-06-20 |
| 1982192613 | Rebecca Frias | Social Worker | 795 Middle St, Fall River, MA 02721-1733 | 2018-04-27 |
| 1043711914 | Steward Medical Group, Inc | Nurse Anesthetist, Certified Registered | 795 Middle St, Fall River, MA 02721-1733 | 2018-02-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174139703 | Ervin Pejo | Dentist | 824 William S Canning Blvd A, Fall River, MA 02721 | 2020-09-18 |
| 1316561814 | Sravanthi Tapal | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fallriver, MA 02721 | 2020-06-01 |
| 1447808811 | Guilbert Maria | Dentist | 45 Mariano South, Mariano Bishop Blvd, Fall River, MA 02721 | 2019-08-29 |
| 1619466638 | Alpha Dental Center, P.c | Dentist | 516 Newton St., Fall River, MA 02721 | 2018-05-04 |
| 1083987374 | Fall River Dental Center | Dentist | 516 Newton St, Fall River, MA 02721 | 2012-02-16 |
| 1033489109 | Phoenix Psychiatric Services | Clinic/Center | 101 Jeremiah Sullivan Dr, Fall River, MA 02721 | 2012-01-06 |
| 1619271491 | Amanda Leigh Sims | Student in an Organized Health Care Education/Training Program | 1575 North Main Street, Fall River, MA 02721 | 2011-01-07 |
| 1346481280 | Paul Ongulo | Counselor | 170 Pleasant Street, Fall River, MA 02721 | 2009-03-23 |
| 1508020439 | Dental Dreams LLC | Dentist | 45 Mariano South Bishop Blvd, Fall River, MA 02721 | 2008-07-10 |
| 1174793244 | Joan P Riley | Social Worker | 700 Shore Dr Unit 605, Fall River, MA 02721 | 2008-03-05 |
| Find all providers in zip 02721 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114060506 | Michael A Pellegrino | Emergency Medicine | Charlton Memorial Hosp, Fall River, MA 00000 | 2007-02-15 |
| 1568557734 | Arthur Calvin Carter | Emergency Medicine | 363 Highland Ave., Charlton Hospital -south Coast Hospital, Fall River, MA 02720 | 2006-10-04 |
| 1326086257 | Jonathan Nelson Tweed | Emergency Medicine | 158 Wellington St, No. 10, Fall River, MA 02720-2958 | 2006-06-03 |
| 1023089695 | Neill Sinclair Barber | Emergency Medicine | 1030 President Ave Rm 210, Fall River, MA 02720-5929 | 2006-01-31 |
| 1811549231 | Kerry Maccini | Emergency Medicine | 795 Middle St, Fall River, MA 02721-1798 | 2019-07-15 |
| 1245686344 | Pooja Aysola | Emergency Medicine | 795 Middle St, Fall River, MA 02721 | 2016-05-06 |
| 1487051025 | Maya Grace Bouchard | Emergency Medicine | 795 Middle St, Fall River, MA 02721-1733 | 2014-11-25 |
| 1144660622 | Joseph Matthew Manchester | Emergency Medicine | 795 Middle St, Fall River, MA 02721-1733 | 2013-06-28 |
| 1811255821 | Peter Alonzo Kirk | Emergency Medicine | 363 Highland Ave, Emergency Department, Fall River, MA 02720-3703 | 2012-04-26 |
| 1952595761 | Christa Lynn Johnson | Emergency Medicine | 363 Highland Ave, Fall River, MA 02720-3703 | 2007-09-05 |
| Find all providers in FALL RIVER | ||||
| City | FALL RIVER |
| Zip Code | 02721 |
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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.