DR. SHARI RUDOLER (NPI# 1972525400) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972525400 |
Entity Type | Individual |
Full Name | DR. SHARI RUDOLER |
Credential | M.D. |
Practice Address |
Knights & Red Lion Roads Philadelphia PA 19114 |
Mailing Address |
615 Chestnut St 14th Floor, Central Enrollment Philadelphia PA 19106-4404 |
Practice Telephone | 2156124000 |
Practice Fax Number | 2156124350 |
Enumeration Date | 2006-07-24 |
Last Update Date | 2019-08-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD-051229-L | PA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 7733801 | 05 | |
PA | 001722619 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
3941 Commerce Ave, Willow Grove, PA 190901104 | 2154814000 |
Street Address |
KNIGHTS & RED LION ROADS |
City | PHILADELPHIA |
State | PA |
Zip Code | 19114 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386873446 | Domenick D. Bucci | Internal Medicine | Knights & Red Lion Roads, Aria Health Medical Staff Office, Philadelphia, PA 19114 | 2009-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164029906 | Phuoc Nguyen | Nurse Anesthetist, Certified Registered | Jefferson Torresdale Hospital, 10800 Knights Rd, Philadelphia, PA 19114 | 2020-10-05 |
1053921932 | Priyanka Patel | Dentist | Philadelphia Dental Smiles, 9140 Academy Road, Philadelphia, PA 19114 | 2020-08-05 |
1215419080 | Thomas Patrick Gallagher | Specialist/Technologist | 2708 Ruth Way, Philadelphia, PA 19114 | 2018-08-29 |
1558840223 | Alexis Wenger | Early Intervention Provider Agency | 3810 Aubrey Ave, Phila, PA 19114 | 2018-08-13 |
1245759232 | Newlands Health | Clinic/Center | 9625 Frankford Ave., Philadelphia, PA 19114 | 2017-09-12 |
1619491453 | Nazareth Physician Services Inc | Social Worker | 9815 Roosevelt Blvd Ste G, Philadelphia, PA 19114 | 2017-08-02 |
1326561606 | L.s. Share & Love Support Coordinating Agency, LLC | Case Management | 3600 Red Lion Road, Apt 68c, Philadelphia, PA 19114 | 2017-07-19 |
1760911952 | Charles C Richards II | Counselor | 2555 Welsh Rd, Apt 407, Philadelphia, PA 19114 | 2017-06-09 |
1801338686 | April Neuls | Physical Therapy Assistant | 4213 Lackland Place, Philadelphia, PA 19114 | 2016-11-10 |
1114317583 | Siji Cyriac | Physical Therapist | 9501 State Road, Philadelphia, PA 19114 | 2015-01-23 |
Find all providers in zip 19114 |
Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912433632 | Victor Eric Chen | Radiology | 111 S 11th St # G301, Philadelphia, PA 19107 | 2017-05-02 |
1346635455 | Adam Christopher Mueller | Radiology | 111 S 11th St Ste G-301, Philadelphia, PA 19107-4824 | 2015-04-06 |
1487916193 | Sonam Sharma | Radiology | 3400 Civic Blvd, Philadelphia, PA 19104-4206 | 2012-06-10 |
1245439017 | Edward M Marchan | Radiology | 909 Walnut St Fl 3, Department of Neurosurgery Thomas Jefferson Univ, Philadelphia, PA 19107-5211 | 2007-07-12 |
1710052212 | Thomas J Galloway | Radiology | 333 Coltman Avenue, Fox Chase Cancer Center, Philadelphia, PA 19111 | 2006-11-21 |
1811910854 | William T Grizos | Radiology | 8835 Germantown Ave., Philadelphia, PA 19118-2718 | 2006-07-25 |
1730135393 | Voichita Bar Ad | Radiology | 111 S. 11th Street, Bodine Center Jefferson Radiation Oncology Associates, Philadelphia, PA 19107 | 2006-05-25 |
1467403121 | Patrick M Tripp | Radiology | 3400 Civic Center, Pcam - Radiation Oncology Trc 2 West, Philadelphia, PA 19104 | 2006-05-15 |
1548249287 | William R Rate | Radiology | 3400 Civic Center Blvd., Concourse Level, Philadelphia, PA 19104-4306 | 2006-01-11 |
1356347504 | Sangeeta K Tyerech | Radiology | 333 Cottman Ave, Philadelphia, PA 19111 | 2005-06-22 |
Find all providers in PHILADELPHIA |
City | PHILADELPHIA |
Zip Code | 19114 |
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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.