WILLIAM G. RUDOLPH (NPI# 1407917875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407917875 |
| Entity Type | Individual |
| Full Name | WILLIAM G. RUDOLPH |
| Credential | M.D. |
| Practice Address |
1080 First Colonial Rd Suite 200 Virginia Beach VA 23454-2406 |
| Practice Telephone | 7573956070 |
| Practice Fax Number | 7573956381 |
| Mailing Telephone | 7573956070 |
| Mailing Fax Number | 7573956381 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2014-03-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 0101241931 | VA | Allopathic & Osteopathic Physicians |
| Y | 208C00000X | Colon & Rectal Surgery | 0101241931 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 79622011 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295702124 | William Garry Rudolph | Preventive Medicine | 1283 Tow Way Drive, Code N02m, Norfolk, VA 23511 | 2006-02-28 |
| 1144582982 | William H Rudolph | Pharmacist | 8001 Lincoln Ave, Skokie, IL 60077-3695 | 2012-06-07 |
| 1780700294 | William I Rudolph | Dentist | 3200 Sycamore Ct, Suite 1c, Columbus, IN 47203 | 2007-03-22 |
| Street Address |
1080 FIRST COLONIAL RD SUITE 200 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23454-2406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003809112 | Jay I Tischler | Podiatrist | 1080 First Colonial Rd, Ste 400, Virginia Beach, VA 23454-2406 | 2005-08-24 |
| 1417303678 | Ashley Dean Moan | Nurse Practitioner | 1080 First Colonial Rd, Ste 300, Virginia Beach, VA 23454-2406 | 2016-05-06 |
| 1346601150 | Melissa Roberts | Registered Nurse | 1080 First Colonial Rd, Suite 412, Virginia Beach, VA 23454-2406 | 2016-03-08 |
| 1588963342 | Maria Elizabeth Crippen | Nurse Practitioner | 1080 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2406 | 2011-03-19 |
| 1225267651 | Masoumeh Kiamanesh | Family Medicine | 1080 First Colonial Rd, Ste 400, Virginia Beach, VA 23454-2406 | 2009-07-07 |
| 1841434057 | Theresa M. Corbine | Nurse Practitioner | 1080 First Colonial Rd, Suite 305, Virginia Beach, VA 23454-2406 | 2009-05-01 |
| 1174766026 | Sentara Medical Group | Clinical Medical Laboratory | 1080 First Colonial Rd, Suite 100a, Virginia Beach, VA 23454-2406 | 2009-04-08 |
| 1427294552 | Michelle M Eynon | Nurse Practitioner | 1080 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2406 | 2008-12-19 |
| 1063658193 | Julie J Rekant | Nurse Practitioner | 1080 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2406 | 2008-12-19 |
| 1013185677 | Patricia G Dudley | Nurse Practitioner | 1080 First Colonial Rd, Suite 300, Virginia Beach, VA 23454-2406 | 2008-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356994263 | Agape Consulting | Behavioral Analyst | 1216 Garth Court, Virginia Beach, VA 23454 | 2019-07-19 |
| 1831650266 | Amelia Jo Crutsinger | Physician Assistant | 1644 Kepler Bnd, Virginia Beach, VA 23454 | 2019-03-28 |
| 1538639158 | Bay Psychiatric II Inc | Counselor | 923 First Colonial Rd Suite 1821, Virginia Beach, VA 23454 | 2018-11-26 |
| 1487151759 | Akanksha Mohan | Student in an Organized Health Care Education/Training Program | 100 Mannng Drive, Chapel Hill, Nc 27514, Chapel Hill, NC 23454 | 2018-04-12 |
| 1275038580 | Food Lion, LLC | Durable Medical Equipment & Medical Supplies | 1615 General Booth Blvd, Virginia Beach, VA 23454 | 2018-03-28 |
| 1346783164 | Tracy Chasse | Occupational Therapy Assistant | 1628 Old Donation Parkway, Virginia Beach, VA 23454 | 2016-11-28 |
| 1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
| 1659730562 | Rebecca Houvener | Psychologist | 1120 First Colonial Rd Ste 202, Virginia Beach, VA 23454 | 2016-02-19 |
| 1932581741 | Monica Jane Bailey | Nurse Practitioner | 2110 N Great Neck Rd, Virginia Beach, VA 23454 | 2015-06-29 |
| 1376930073 | Ashley A Burkholder | Family Medicine | 1024 First Colonial Rd Ste 104, Virginia Beach, VA 23454 | 2015-04-20 |
| Find all providers in zip 23454 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396725636 | Beth Rachelle Jaklic | Colon & Rectal Surgery | 1301 First Colonial Rd Ste 201, Virginia Beach, VA 23454-2263 | 2006-01-20 |
| 1356520373 | Tawachai Onsanit | Colon & Rectal Surgery | 1020 Independence Blvd, Suite 204, Virginia Beach, VA 23455-5500 | 2007-10-26 |
| 1588620991 | T. Onsanit, Md, PC | Colon & Rectal Surgery | 1020 Independence Blvd, 204, Virginia Beach, VA 23455-5500 | 2006-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073809281 | Mercy Danielle Wagner | Colon & Rectal Surgery | 260 John Paul Jones Cir, Portsmouth, VA 23708 | 2011-06-26 |
| 1497818025 | Chong S. Lee | Colon & Rectal Surgery | 155 Kinglsey Lane Suite 405, Bon Secours Surgical Specialists, Norfolk, VA 23505 | 2006-12-18 |
| 1427169507 | Fairfax Colon & Rectal Surgery, PC | Colon & Rectal Surgery | 2710 Propersity Ave, Ste 200, Fairfax, VA 22031 | 2006-08-31 |
| 1710918438 | Northern Virginia Surgical Group, PC | Colon & Rectal Surgery | 8316 Arlington Blvd., Suite 630, Fairfax, VA 22031-5216 | 2006-07-05 |
| 1720052285 | Gregory P Fitzharris | Colon & Rectal Surgery | 3000 Coliseum Dr Ste 200, Hampton, VA 23666-5963 | 2006-02-13 |
| 1356311286 | Paul Jerome Kovalcik | Colon & Rectal Surgery | 3105 American Legion Road, Suite A, Chesapeake, VA 23321-5653 | 2006-01-24 |
| 1174525869 | Othon Wiltz | Colon & Rectal Surgery | 3620 Joseph Siewick Dr Ste 406, Fairfax, VA 22033-1761 | 2005-08-11 |
| 1598107674 | Virginia Hospital Center Physician Group, LLC | Colon & Rectal Surgery | 1625 N George Mason Dr, Suite 454, Arlington, VA 22205-3683 | 2013-07-18 |
| 1497092944 | Christina Cheng | Colon & Rectal Surgery | 2710 Prosperity Ave Ste 200, Fairfax, VA 22031-4358 | 2013-01-03 |
| 1063733350 | Terry Paul Nickerson | Colon & Rectal Surgery | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2010-06-21 |
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| City | VIRGINIA BEACH |
| Zip Code | 23454 |
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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.