JUSTIN WILLIAM RUDD (NPI# 1174889794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174889794 |
| Entity Type | Individual |
| Full Name | JUSTIN WILLIAM RUDD |
| Credential | M.D. |
| Practice Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601 |
| Mailing Address |
501 Dr Michael Debakey Dr Lake Charles LA 70601-5724 |
| Practice Telephone | 3373128762 |
| Practice Fax Number | 3373128044 |
| Mailing Telephone | 3373128762 |
| Mailing Fax Number | 3373128044 |
| Enumeration Date | 2012-04-09 |
| Last Update Date | 2018-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 309562 | LA | Allopathic & Osteopathic Physicians |
| Street Address |
501 DR MICHAEL DEBAKEY DR |
| City | LAKE CHARLES |
| State | LA |
| Zip Code | 70601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859937 | Andre' Fontenot Knapp | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2005-05-30 |
| 1477171312 | Emily Ann Presnull | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2020-07-07 |
| 1710459623 | Christian Charles White | Registered Nurse | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2018-12-18 |
| 1780196907 | Candice Alea Boudreaux | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2017-10-27 |
| 1154854255 | Chad Ray Hodge | Registered Nurse | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2017-04-05 |
| 1730630864 | Steven James Comeaux | Registered Nurse | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2016-10-24 |
| 1538614235 | Deanna Darlene Read | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2016-08-23 |
| 1336534064 | Kelsey Cobb | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2015-03-31 |
| 1487046694 | Timothy Joseph Dougherty | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2015-02-25 |
| 1962813105 | Heather Smith Adams | Nurse Practitioner | 501 Dr Michael Debakey Dr, Lake Charles, LA 70601-5724 | 2014-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144833872 | Fresenius Medical Care Sulphur, LLC | Clinic/Center | 330 Chavanne Street, Lake Charles, LA 70601 | 2020-08-24 |
| 1174158844 | Andrea Cormier | Peer Specialist | 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2020-03-03 |
| 1588297303 | Vivian Claire Miller Monceaux | Chiropractor | 780 Bayou Pines East Drive, Lake Charles, LA 70601 | 2020-02-20 |
| 1568001014 | Swla Center for Health Services | Clinic/Center | 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 | 2020-01-02 |
| 1417512070 | Ryan Nathaniel Vaisler | Student in an Organized Health Care Education/Training Program | 1525 Oak Park Blvd., Lake Charles, LA 70601 | 2019-05-08 |
| 1336600675 | Hoh Palliative Care, LLC | Family Medicine | 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 | 2019-03-28 |
| 1073079026 | Alawrass LLC | Pharmacy | 803 E Prien Lake Rd, Lake Charles, LA 70601 | 2019-02-14 |
| 1861962722 | Ellaweena Woods | Counselor | 1409 Kirkman St., Lake Charles, LA 70601 | 2018-12-04 |
| 1770051963 | Hanna Marie Rodriguez | Counselor | 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 | 2018-11-06 |
| 1023585213 | Shandora Druilhet | Case Manager/Care Coordinator | 751 E Bayou Pines, Lake Charles, LA 70601 | 2018-10-26 |
| Find all providers in zip 70601 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346417763 | Darin Doumite | Surgery | 2770 3rd Avenue, Suite 120, Lake Charles, LA 70601 | 2008-05-14 |
| 1285817585 | General Vascular Thoracic Surgery,l.l.c. | Surgery | 641 S. Ryan, Lake Charles, LA 70601 | 2007-12-10 |
| 1720158066 | Chi Fei Chung | Surgery | 4150 Nelson Rd Ste B6, Lake Charles, LA 70605-4169 | 2006-11-08 |
| 1700996659 | William C Moss | Surgery | 4150 Nelson Rd Ste G, Lake Charles, LA 70605-4133 | 2006-08-30 |
| 1255349270 | John Lucas Cocchiara | Surgery | 1739 Ryan St, Lake Charles, LA 70601-6049 | 2006-08-04 |
| 1508832924 | Richard Thomas Shimer | Surgery | 2770 3rd Ave Ste 120, Lake Charles, LA 70601-8994 | 2006-02-25 |
| 1124006978 | Thomas Howard Mccalla | Surgery | 816 W Bayou Pines Dr, Lake Charles, LA 70601-7077 | 2006-01-03 |
| 1528459260 | Louisiana Surgeons of Excellence, LLC | Surgery | 215 W Prien Lake Rd, Suite A, Lake Charles, LA 70601-8450 | 2015-02-17 |
| 1154616936 | Matias Javier Nauts | Surgery | 401 Dr Michael Debakey Dr, Suite 100 C&d, Lake Charles, LA 70601-5864 | 2011-06-09 |
| 1871806935 | Johnlcocchiaramdaprofessionalmedicalcorporation | Surgery | 1739 Ryan St, Lake Charles, LA 70601-6049 | 2010-07-19 |
| Find all providers in LAKE CHARLES | ||||
| City | LAKE CHARLES |
| Zip Code | 70601 |
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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.