DR. DONALD HENRY RUDICK (NPI# 1205885944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205885944 |
| Entity Type | Individual |
| Full Name | DR. DONALD HENRY RUDICK |
| Credential | MD |
| Practice Address |
761 Johnsonburg Rd Suite 350 St Marys PA 15857-3483 |
| Practice Telephone | 8147818669 |
| Practice Fax Number | 8147818671 |
| Mailing Telephone | 8147818669 |
| Mailing Fax Number | 8147818671 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD056864L | PA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | HIGHMARK PROVIDER NUMBER | 1444738 | 01 |
| PA | 0019212650001 | 05 |
| Street Address |
761 JOHNSONBURG RD SUITE 350 |
| City | ST MARYS |
| State | PA |
| Zip Code | 15857-3483 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578628806 | Lei Chen | Obstetrics & Gynecology | 761 Johnsonburg Rd, St Marys, PA 15857-3480 | 2006-12-27 |
| 1225138696 | St Marys Womens Health Care PC | Obstetrics & Gynecology | 761 Johnsonburg Rd, Ste 220, St Marys, PA 15857 | 2006-09-25 |
| 1699722231 | Joseph & Subramany, Inc. | Specialist | 761 Johnsonburg Rd, Suite 130, St Marys, PA 15857-3483 | 2006-05-28 |
| 1336120146 | Megen Handley | Nurse Practitioner | 761 Johnsonburg Rd, Suite 310, St Marys, PA 15857-3483 | 2005-11-09 |
| 1447231378 | Ted Brubaker Eshbach | Orthopaedic Surgery | 761 Johnsonburg Rd, Suite 310, St Marys, PA 15857-3483 | 2005-11-08 |
| 1821085044 | Elk Regional Professional Group, Inc | Physical Therapist | 761 Johnsonburg Rd, Suite 310, St Marys, PA 15857-3483 | 2005-10-03 |
| 1740274729 | John Michael Gorlowski | Pediatrics | 761 Johnsonburg Rd, Suite 360, St Marys, PA 15857-3483 | 2005-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255813945 | Emily Gregory | Occupational Therapist | Elk Haven, 785 Johnsonburg Road, Saint Marys, PA 15857 | 2018-08-30 |
| 1902324395 | Kylee Jo Proudfit | Specialist/Technologist | 575 Charles Street, Saint Marys, PA 15857 | 2017-09-06 |
| 1760829212 | Joshua Aaron Kuleck | Social Worker | 801 South Michael St., Cen Clear Child Services, Saint Marys, PA 15857 | 2013-05-23 |
| 1326215146 | St Marys Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 21 S Saint Marys St, Saint Marys, PA 15857 | 2008-05-12 |
| 1801075924 | James L Hackett Jr. | Internal Medicine | 1114 Windfall Road, St Marys, PA 15857 | 2007-10-25 |
| 1427261098 | Mary Kay O'conor | Radiologic Technologist | 346 Church St, St Marys, PA 15857 | 2007-05-08 |
| 1538205976 | Kelley A Mohney | Occupational Therapy Assistant | 211 Eckert Rd., St. Marys, PA 15857 | 2007-01-30 |
| 1851443824 | Joseph Jude Hawkins | Dentist | 1141 South Michael Road, St Marys, PA 15857 | 2007-01-18 |
| 1124190731 | Charles Richard Haskell Sr. | Dentist | 106 Wehler Road, Saint Marys, PA 15857 | 2006-11-15 |
| 1235229170 | Sharon Zaffarese-dippold | Social Worker | 145 Lafayette St Apt 1, Saint Marys, PA 15857 | 2006-10-13 |
| Find all providers in zip 15857 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104867563 | St. Marys Anesthesiology Group, L.p. | Specialist | 1376 Bucktail Rd, St Marys, PA 15857-3212 | 2006-06-09 |
| 1699722231 | Joseph & Subramany, Inc. | Specialist | 761 Johnsonburg Rd, Suite 130, St Marys, PA 15857-3483 | 2006-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346863909 | Courtney Romain-lopez | Specialist | 301 Lenape Trl, Allentown, PA 18104-8531 | 2020-05-18 |
| 1235751116 | Steven Charles Snyder | Specialist | 119 Boyd Hollow Ln, Spring Mills, PA 16875-7812 | 2020-05-13 |
| 1083236582 | Chelsea Meadows | Specialist | 693 Topaz Dr, Lancaster, PA 17603-5864 | 2020-05-07 |
| 1982224655 | Eric Rickin Md LLC | Specialist | 102 Lexington Ave Ste 2, Aspinwall, PA 15215-3257 | 2020-04-22 |
| 1134748510 | Beaver County Regenerative Wellness Centers PC | Specialist | 3582 Brodhead Rd Ste 108, Monaca, PA 15061-3142 | 2020-04-15 |
| 1780203414 | Essence Allen-presley | Specialist | 252 Melrose Ave, Lansdowne, PA 19050-2532 | 2020-04-13 |
| 1174156012 | Sade Yolanda Davis | Specialist | 2414 N Garnet St, Philadelphia, PA 19132-3725 | 2020-02-19 |
| 1487285094 | Kim O'toole | Specialist | 105 Hay Rd, Milford, PA 18337-9020 | 2020-02-01 |
| 1437789740 | Kate Beer | Specialist | 3357 W 43rd St, Erie, PA 16506-4233 | 2020-01-26 |
| 1346888690 | Colleen Ruddy | Specialist | 205 Glenburn Rd, Clarks Green, PA 18411-2534 | 2019-12-17 |
| Find all providers with the same taxonomy | ||||
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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.