SCOTT RUTCHIK


Address: 410 Park Pl Ste B, Mishawaka, IN 46545-3557
Phone: 5748555800

SCOTT RUTCHIK (NPI# 1952356503) 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) 1952356503
Entity Type Individual
Full Name SCOTT RUTCHIK
Credential M.D.
Practice Address 410 Park Pl Ste B
Mishawaka
IN 46545-3557
Mailing Address Po Box 2968
Elkhart
IN 46515-2968
Practice Telephone 5748555800
Practice Fax Number 5748555805
Mailing Telephone 5742963200
Mailing Fax Number 5742963392
Enumeration Date 2006-05-23
Last Update Date 2008-09-04
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 01057389 IN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IN FEDERAL BLACK LUNG 021236800 01
IN MEDICARE RAILROAD P00038154 01
IN 200443540 05

Office Location

Street Address 410 PARK PL STE B
City MISHAWAKA
State IN
Zip Code 46545-3557

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1649824103 Senior Helpers In Home Supportive Care 230 Catalpa Drive Suite B, Mishawaka, IN 46545 2019-08-01
1093272114 Candice Marie Greathouse Physical Therapy Assistant 3630 Hickory Road, Mishawaka, IN 46545 2019-02-25
1639662596 Mishawaka Rcf Lp Assisted Living Facility 3630 Hickory Rd, Mishawaka, IN 46545 2018-06-14
1760907299 Timothy John Howard Emergency Medicine 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 2017-08-05
1699203612 Paridhie Vasudevan Dentist 6502 Grape Rd Ste 882, Mishawaka, IN 46545 2017-06-03
1780134650 Ossip Optometry, PC Optometrist 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 2016-10-04
1457730038 Melissa Anne Douthit Nurse Practitioner 3665 Park Pl W Ste 300, Mishawaka, IN 46545 2015-05-28
1558759654 Spine and Joint Associates of Plymouth, Inc Chiropractor 229 Red Coach, Suite 106, Mishawaka, IN 46545 2014-12-26
1609264795 Spine and Joint Associates of Mishawaka, Inc Chiropractor 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 2014-12-26
1508260795 Maribel Smith Counselor 2989 Heritage Ct, Mishawaka, IN 46545 2014-10-16
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Taxonomy Information

Taxonomy Code 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699015941 Frank Walerko Urology 809 Bittersweet Cove Drive, Mishawaka, IN 46544 2013-02-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1336752799 Mark Alexander Assmus Urology 1801 Senate Blvd Ste 220, Indianapolis, IN 46202-1260 2020-08-26
1124653803 Catherine Baugher Urology 2525 W University Ave Ste 504, Muncie, IN 47303-3409 2020-03-03
1245881812 Carol Jean Stephens Urology 1000 N 16th St Ste 210, New Castle, IN 47362-4319 2019-09-25
1376960302 Mohammad Mahmoud Urology 535 Barnhill Dr Ste 150, Indianapolis, IN 46202-5116 2014-03-27
1114364064 Alexander J Tatem Urology 8240 Naab Rd Ste 220, Indianapolis, IN 46260-1950 2013-06-03
1861744997 Vincent Joseph Santare Urology 134 Carnoustie Ln, Schererville, IN 46375-2926 2012-10-13
1821353814 Little Company of Mary Hospital of Indiana Inc Urology 600 W 13th Street, Suite 105, Jasper, IN 47546-1882 2012-07-06
1154681369 Joshua David Roth Urology 705 Riley Hospital Dr Ste 4230, Indianapolis, IN 46202-5109 2012-05-22
1801152210 Richard James Holloway Urology 18799 Arapaho Ln, South Bend, IN 46637 2012-04-10
1619241783 Michael James Elkins Shanks Urology 3401 S 4th St, Terre Haute, IN 47802 2012-03-06
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Competitor

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City MISHAWAKA
Zip Code 46545

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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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