Ethan Rutledge (NPI# 1508156696, PAC ID# 1658506423) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PULMONARY DISEASE.
| Nation Provider ID (NPI) | 1508156696 |
| PAC ID by PECOS | 1658506423 |
| Professional Enrollment ID | I20170607001570 |
| Full Name | Ethan Rutledge |
| Organization Legal Name | BLUE RIDGE PULMONARY MEDICINE, PC |
| Address |
110 Dunhill Place Nw Cleveland TN 37311-3883 |
| Phone Number | 4234762212 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PULMONARY DISEASE |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 3678586963 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440185 | TENNOVA HEALTH CARE-CLEVELAND |
| Address | Phone | Organization |
|---|---|---|
| 110 Dunhill Place Nw, Cleveland, TN 37311-3883 | 4234762212 | BLUE RIDGE PULMONARY MEDICINE, PC |
| Organization Legal Name | BLUE RIDGE PULMONARY MEDICINE, PC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S. Jaggers Iii | Pulmonary Disease | Blue Ridge Pulmonary Medicine, PC | 110 Dunhill Place Nw, Cleveland, TN 37311-3883 |
| Robert F. Marcum | Pulmonary Disease | Blue Ridge Pulmonary Medicine, PC | 110 Dunhill Place Nw, Cleveland, TN 37311-3883 |
| Street Address |
110 DUNHILL PLACE NW |
| City | CLEVELAND |
| State | TN |
| Zip | 37311-3883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John S. Jaggers Iii | Pulmonary Disease | Blue Ridge Pulmonary Medicine, PC | 110 Dunhill Place Nw, Cleveland, TN 37311-3883 |
| Robert F. Marcum | Pulmonary Disease | Blue Ridge Pulmonary Medicine, PC | 110 Dunhill Place Nw, Cleveland, TN 37311-3883 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth C Hudson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
| Dennis C Ford | Interventional Pain Management | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Gregory Vanfossen | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Sarah Ford | Nurse Practitioner | Ford Center for Pain Management | 2020 Keith St Nw C, Cleveland, TN 37311-1351 |
| Blake Allen Peterson | Optometry | Walter F Peterson Od PC | 2020 Keith Nwst, Cleveland, TN 37311-1351 |
| John N Gernert | Podiatry | 105 Keith St, Cleveland, TN 37311-1704 | |
| Leland W Wear | Chiropractic | 755 Broad St Nw, Suite C, Cleveland, TN 37311-2248 | |
| Michael L Hoops | Plastic and Reconstructive Surgery | 597 Church St Ne, Cleveland, TN 37311-2275 | |
| Dean Leroy Bowen | Nurse Practitioner | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
| Troy D Gilson | Psychiatry | Volunteer Behavioral Health Care System | 940 S Ocoee St, Cleveland, TN 37311-2601 |
| Find all physicians in zip 37311 | |||
| City | CLEVELAND |
| Zip Code | 37311 |
| Specialty | PULMONARY DISEASE |
| City + Specialty | CLEVELAND + PULMONARY DISEASE |
Please comment or provide details below to improve the information on Ethan Rutledge.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.