DR. STEPHEN MILES RUDD (NPI# 1952303273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952303273 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN MILES RUDD |
| Credential | MD |
| Practice Address |
1270 Kot-num Rd. Warm Springs OR 97761 |
| Mailing Address |
Po Box 1209 Warm Springs OR 97761-1209 |
| Practice Telephone | 5415531196 |
| Practice Fax Number | 5415531130 |
| Mailing Telephone | 5415531196 |
| Mailing Fax Number | 5415531130 |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2011-06-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 19095 | OR | Allopathic & Osteopathic Physicians |
| Street Address |
1270 KOT-NUM RD. |
| City | WARM SPRINGS |
| State | OR |
| Zip Code | 97761 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740829563 | Kathleen Boxx | Dietitian, Registered | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2019-12-26 |
| 1386183416 | Jacklene Jackson | Registered Nurse | 1270 Kot-num Rd., Warm Springs, OR 97761 | 2017-02-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891850749 | Frank A Mendoza | Dentist | Warm Springs Indian Health Service Dental Clinic, 1270 Kot-num Road, Warm Springs, OR 97761 | 2006-12-22 |
| 1477596112 | Eric Bradford | Physical Therapist | 1270 Kotnum Rd., Warm Springs, OR 97761 | 2006-06-13 |
| 1629033527 | Lynette R Dziuk | Optometrist | 1270 Kot Num Rd, Warm Springs, OR 97761 | 2006-04-20 |
| 1982690954 | Hai Tuan Tran | Podiatrist | 1270 Kot-num, Warm Springs, OR 97761 | 2005-09-23 |
| 1154320240 | James C Gemelas | Pharmacist | 1270 Kotnum Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1144229154 | Frank Charles Hoffman | Emergency Medicine | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2005-07-20 |
| 1508863317 | Mitzie Althea Allen | Pharmacist | 1270 Kotnum Road, Warm Springs, OR 97761 | 2005-07-07 |
| 1184239956 | Brian Daniel Wojahn | Dentist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-09-09 |
| 1639789266 | Kasem Darwish El-hajji | Pharmacist | 1270 Kot-num Rd, Warm Springs, OR 97761 | 2020-08-07 |
| 1376199398 | The Confederated Tribes of The Warm Springs Reservation of Oregon | Physical Therapist | 2124 Warm Springs St., Warm Springs, OR 97761 | 2019-08-15 |
| Find all providers in zip 97761 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144642034 | Accountability Healthcare Inc | Family Medicine | 2010 Warm Springs Road, Warm Springs, GA 31904 | 2014-01-10 |
| 1497984769 | Palmetto Health Council, Inc. | Family Medicine | 3939 White House Parkway, Warm Springs, GA 31830-2455 | 2009-07-08 |
| 1568602217 | Meriwether County Hospital Authority | Family Medicine | 5997 Spring Street, Warm Springs, GA 31830-2149 | 2009-02-20 |
| 1457495103 | Howell Anderson Wasden IIi | Family Medicine | 5919 Spring Street, Warm Springs, GA 31830-0447 | 2007-02-16 |
| 1265431449 | Christopher Keane | Family Medicine | 1270 Kot Num Road, Warm Springs, OR 97761-1209 | 2005-07-19 |
| 1952781759 | Roosevelt Warm Springs Hospitalist | Family Medicine | 6135 Roosevelt Hwy, Warm Springs, GA 31830-2757 | 2015-06-05 |
| 1215167226 | Sapna Jain | Family Medicine | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2009-07-24 |
| 1962687707 | Thomas Martin Weiser | Family Medicine | 1270 Kotnum Road, Warm Springs, OR 97761-1209 | 2007-12-28 |
| 1619157245 | William E. Cunningham | Family Medicine | 3939 White House Pkwy, Warm Springs, GA 31830-2455 | 2007-11-12 |
| 1679785174 | Mark Carlton Brown | Family Medicine | 1033 Old Burr Rd, Warm Springs, AR 72478-9077 | 2007-05-04 |
| Find all providers in WARM SPRINGS | ||||
| City | WARM SPRINGS |
| Zip Code | 97761 |
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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.