DR. MICHAEL DENNIS RUDNICK (NPI# 1033254974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033254974 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL DENNIS RUDNICK |
| Credential | M.D., PH.D. |
| Practice Address |
28101 E Quincy Ave Watkins CO 80137-9502 |
| Practice Telephone | 3032141131 |
| Practice Fax Number | 3037662042 |
| Mailing Telephone | 3032141131 |
| Mailing Fax Number | 3037662042 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2016-09-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
30130 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01301308 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790719664 | Michael R Rudnick | Internal Medicine | 51 N 39th St, Mob Suite 240, Philadelphia, PA 19104-2640 | 2006-07-10 |
| Street Address |
28101 E QUINCY AVE |
| City | WATKINS |
| State | CO |
| Zip Code | 80137-9502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245983 | Falona H Glenn Dds, PC | Dentist | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2020-11-02 |
| 1457875171 | Rite of Passage Inc | Counselor | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-08-03 |
| 1245766476 | Rite of Passage Inc | Dentist | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-05-09 |
| 1235665472 | Rite of Passage Inc | Dentist | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-05-09 |
| 1891227955 | Ridgeview Youth Services Center | Community Based Residential Treatment Facility, Mental Illness | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-03-29 |
| 1881125417 | Jacilyn Berryman | Counselor | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-03-24 |
| 1407387236 | Mayra Granados | Counselor | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-03-23 |
| 1891226627 | Laura Schniedwind | Counselor | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-03-23 |
| 1720519564 | Alexis Mitchell | Counselor | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-03-23 |
| 1376074336 | Gwen Prouty | Counselor | 28101 E Quincy Ave, Watkins, CO 80137-9502 | 2017-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437680824 | Zachary Gaiter | Counselor | 2801 E. Quincy Ave, Watkins, CO 80137 | 2017-03-27 |
| 1417488321 | James Snyder | Counselor | 28101 E Quincy Ave., Watkins, CO 80137 | 2017-03-22 |
| 1669670303 | Whitney Carrin Harrah | Counselor | 325 S Almstead Rd, Watkins, CO 80137 | 2007-07-03 |
| 1104040476 | Miriam Millicent Hegler | Chiropractor | 1707 N. Watkins Rd., Watkins, CO 80137 | 2007-04-11 |
| 1134430218 | Emily O'rourke-mills | Marriage & Family Therapist | 325 S Almstead Rd, Watkins, CO 80137 | 2010-06-23 |
| 1114139318 | Dane Person | Physical Therapist | 2991 Eclectic Ct, Watkins, CO 80137-7117 | 2007-05-03 |
| 1891351367 | Karen Elizabeth Brandon Robinson | Counselor | 325 S Almstead Rd, Watkins, CO 80137-8931 | 2019-05-10 |
| 1821552480 | W, L, & J, L, Inc. | Substance Abuse Rehabilitation Facility | 325 S Almstead Rd, Watkins, CO 80137-8931 | 2019-01-29 |
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093294795 | University Physicians Incorporated | Pediatrics | 13100 E Colfax Ave Fl 3, Aurora, CO 80011 | 2018-08-13 |
| 1275738510 | Cornerstone Pediatrics Associates | Pediatrics | 90 Health Park Dr Ste 160, Louisville, CO 80027-9742 | 2007-06-18 |
| 1710059381 | Michael Andrew Spaulding-barclay | Pediatrics | 8140 E 5th Ave, Denver, CO 80230-6492 | 2006-11-15 |
| 1225100324 | Susan Elizabeth Damon | Pediatrics | 6909 S Holly Cir Ste 260, Centennial, CO 80112-6248 | 2006-11-14 |
| 1780755223 | James J Harrington IIi | Pediatrics | 10901 W Toller Dr, Suite #101, Littleton, CO 80127-6312 | 2006-11-13 |
| 1831282508 | David Woodburne Wells | Pediatrics | 4143 S Julian Way, Denver, CO 80236-3101 | 2006-10-02 |
| 1417906355 | Ronald Mcree Eagar | Pediatrics | 8463 E Mansfield Ave, Denver, CO 80237-1724 | 2006-05-08 |
| 1598724445 | Ovidio Bernabe Bermudez | Pediatrics | 8140 E 5th Avenue, Eating Recovery Center, Denver, CO 80230-6492 | 2006-03-20 |
| 1932187804 | Rita E Thieme | Pediatrics | 1001 S Perry St, Suite 101b, Castle Rock, CO 80104-2668 | 2006-01-02 |
| 1831198753 | Charlene Deanne Guggenheim | Pediatrics | 101 Founders Pl, Suite 109, Aspen, CO 81611-1476 | 2005-07-21 |
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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.