DR. TODD JONATHAN RUDO (NPI# 1801913934) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801913934 |
| Entity Type | Individual |
| Full Name | DR. TODD JONATHAN RUDO |
| Credential | MD |
| Practice Address |
Paoli Memorial Medical Bldg #2 255 W Lancaster Ave Suite 328 Paoli PA 19301 |
| Mailing Address |
207 N Broad St 3rd Floor Philadelphia PA 19107-1500 |
| Practice Telephone | 6106472400 |
| Practice Fax Number | 6106473902 |
| Mailing Telephone | 2674794165 |
| Mailing Fax Number | 2154633820 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-01-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD421975 | PA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
MD421975 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101979357 | 05 | |
| PA | RR MEDICARE | P01078707 | 01 |
| Street Address |
PAOLI MEMORIAL MEDICAL BLDG #2 255 W LANCASTER AVE SUITE 328 |
| City | PAOLI |
| State | PA |
| Zip Code | 19301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851330922 | Dawn T Dwyer | Physician Assistant | Paoli Memorial Medical Bldg #2, 255 W Lancaster Ave Suite 328, Paoli, PA 19301 | 2006-06-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588280333 | Mary Callery | Physical Therapy Assistant | 16 Industrial Blvd., Ste. 101, Paoli, PA 19301 | 2020-06-17 |
| 1871097519 | Daniel Malloy-good | Social Worker | 45 Darby Rd Ste E4, Paoli, PA 19301 | 2018-03-19 |
| 1306354774 | Patricia Obilo-azandegbe | Counselor | 30 S Valley Rd Ste 101, Paoli, PA 19301 | 2018-01-18 |
| 1275992877 | Jessica Bernard | Physical Therapist | 40 Darby Rd Ste 1, Paoli, PA 19301 | 2016-02-11 |
| 1730576364 | Ushma Sheth | Podiatrist | 250 W Lancaster Ave Ste 225, Paoli, PA 19301 | 2015-04-21 |
| 1619371432 | Miriam Leslie Brewer | Physical Therapist | 195 W Lancaster Ave #3, Paoli, PA 19301 | 2014-10-22 |
| 1447665393 | Matthew Rementer | Podiatrist | 254 West Lancaster Ave, Paoli, PA 19301 | 2014-06-29 |
| 1720490915 | Edward Anthony Romero | Surgery | 255 W Lancaster Ave Ste 332, Paoli, PA 19301 | 2014-05-22 |
| 1285053421 | Jose Ethan Pulido | Urology | 2 Industrial Blvd Bldg C Ste 120, Paoli, PA 19301 | 2014-04-15 |
| 1093065849 | Kathleen M Canfield | Physician Assistant | 11 Industrial Blvd., Ste 204, Paoli Pointe Med. Office Bldg, Paoli, PA 19301 | 2012-09-19 |
| Find all providers in zip 19301 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164923587 | Regional Cardiac Monitoring, Inc | Internal Medicine | 125 N Franklin Dr Ste 4, Washington, PA 15301-5892 | 2018-02-21 |
| 1952819633 | Einstein Practice Plan, Inc. | Internal Medicine | 5501 Old York Rd Fl Moss3, Philadelphia, PA 19141 | 2018-01-17 |
| 1952828550 | Mercy Management of Southeastern Pennsylvania | Internal Medicine | 501 S 54th St Ste 126, Phila, PA 19143-1900 | 2017-08-24 |
| 1285150458 | Nazareth Physician Services, Inc. | Internal Medicine | 2701 Holme Ave Ste 100, Phila, PA 19152-2029 | 2017-08-18 |
| 1851657548 | Butler Medical Providers | Internal Medicine | 127 Oneida Valley Rd Ste 203, Butler, PA 16001-2239 | 2012-04-06 |
| 1902114788 | Robert Bruce Kleiman | Internal Medicine | 129 Overhill Rd, Bala Cynwyd, PA 19004-2228 | 2010-09-15 |
| 1477699015 | Rajat Deo | Internal Medicine | 3400 Spruce St Fl 2, Philadelphia, PA 19104-4229 | 2007-01-30 |
| 1780744839 | Robert James Hoover | Internal Medicine | 419 Denniston St Apt 3, Pittsburgh, PA 15206-4451 | 2006-12-11 |
| 1245255298 | Pittsburgh Cardiac Electrophysiology Associates PC | Internal Medicine | 5125 Liberty Ave, Pittsburgh, PA 15224-2217 | 2006-07-12 |
| 1871534826 | Methodist Associates In Healthcare Jmhc | Internal Medicine | 1317-19 Wolf Street, Philadelphia, PA 19148-2934 | 2006-06-09 |
| Find all providers with the same taxonomy | ||||
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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.