RHYS RUDOLPH (NPI# 1457362717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457362717 |
| Entity Type | Individual |
| Full Name | RHYS RUDOLPH |
| Credential | M.D. |
| Practice Address |
1818 Carew St Suite 210 Fort Wayne IN 46805-4788 |
| Mailing Address |
1234 E Dupont Rd Suite 1 Fort Wayne IN 46825-1545 |
| Practice Telephone | 2604828681 |
| Practice Fax Number | 2603734699 |
| Mailing Telephone | 2603739700 |
| Mailing Fax Number | 2603739740 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2013-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 01029545 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100338370 | 05 | |
| IN | ANTHEM | 000000633802 | 01 |
| IN | R.R. MEDICARE | P00803483 | 01 |
| Street Address |
1818 CAREW ST SUITE 210 |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46805-4788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447257795 | P. Rao Gummadi | Anesthesiology | 1818 Carew St, Suite 220, Fort Wayne, IN 46805-4788 | 2005-07-01 |
| 1912393570 | Kelly Horn | Midwife | 1818 Carew St, Suite 300, Fort Wayne, IN 46805-4788 | 2015-04-10 |
| 1295141380 | Gynecologic Oncology of Northeast Indiana, LLC | Obstetrics & Gynecology | 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 | 2014-07-09 |
| 1174802649 | Matthew L Runyan | Psychiatry & Neurology | 1818 Carew St, Suite 230, Fort Wayne, IN 46805-4788 | 2011-08-15 |
| 1861647000 | Patrick Andrew Macknick | Physician Assistant | 1818 Carew St, Suite 250, Fort Wayne, IN 46805-4788 | 2008-12-01 |
| 1013169275 | Jeri Ann Forrest | Social Worker | 1818 Carew St, Suite 230, Fort Wayne, IN 46805-4788 | 2008-10-21 |
| 1013179357 | Carol Pai Wain Garrean | Internal Medicine | 1818 Carew St, Suite 260, Fort Wayne, IN 46805-4788 | 2008-06-27 |
| 1922156512 | Robert W Miner | Psychiatry & Neurology | 1818 Carew St, Fort Wayne, IN 46805-4788 | 2007-01-08 |
| 1316011349 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 1818 Carew St, Suite 260, Fort Wayne, IN 46805-4792 | 2006-11-20 |
| 1801960596 | Parkview Health System, Inc. | Durable Medical Equipment & Medical Supplies | 1818 Carew St, Suite 240, Fort Wayne, IN 46805-4788 | 2006-11-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589546 | Connor Gemlick | Student in an Organized Health Care Education/Training Program | 1918 Carew St., Fort Wayne, IN 46805 | 2020-08-21 |
| 1710464086 | S.t.a.r. Care Services | Clinic/Center | 3521 Lake Avenue, Suite #4, Fort Wayne, IN 46805 | 2018-07-19 |
| 1083122865 | Noel Shafi | Counselor | 3010 East State Boulevard, Fort Wayne, IN 46805 | 2018-01-16 |
| 1063963627 | Toni L Irby | Specialist | 3219 E State Blvd, Fort Wayne, IN 46805 | 2016-10-19 |
| 1639626211 | Logan Schwerer | Pharmacist | 923 Northcrest Business Center 6d, Fort Wayne, IN 46805 | 2016-09-01 |
| 1063817104 | Michale Diane Rothgeb | Physical Therapy Assistant | 2200 Randollia Dr, Fort Wayne, IN 46805 | 2014-10-31 |
| 1124435789 | Julia I. Mcfann | Physical Therapist | 2200 Randalia Dr, Fort Wayne, IN 46805 | 2014-07-16 |
| 1083036974 | Capital Senior Living Properties 4, Inc. | Assisted Living Facility | 3320 East State Boulevard, Fort Wayne, IN 46805 | 2014-01-10 |
| 1356772396 | Alexander James Medical Supply | Durable Medical Equipment & Medical Supplies | 2200 Lake Avenue, Suite 290, Fort Wayne, IN 46805 | 2013-12-02 |
| 1043595689 | Randy James Jennings | Pharmacist | 923 Northcrest Business Center, 6-d, Fort Wayne, IN 46805 | 2011-10-14 |
| Find all providers in zip 46805 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225287998 | George W. Bowers | Urology | 12002 Haddington Court, Fort Wayne, IN 46814 | 2008-09-17 |
| 1437116530 | Adam Craig Thomas | Urology | 2512 E. Dupont Road, Suite 100, Fort Wayne, IN 46825 | 2006-05-01 |
| 1578532479 | David S Turk | Urology | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2006-03-15 |
| 1891795852 | Mark Daniel Dabagia | Urology | 2512 E Dupont Rd, Suite 100, Fort Wayne, IN 46825-1609 | 2005-07-29 |
| 1962637652 | Christopher B King | Urology | 2512 E Dupont Rd Ste 100, Fort Wayne, IN 46825-1609 | 2009-05-25 |
| 1518133792 | Altin Miraka | Urology | 11141 Parkview Plaza Dr Ste 320, Fort Wayne, IN 46845-1714 | 2008-05-07 |
| 1508945809 | Fort Wayne Urology Inc. | Urology | 1818 Carew St, Suite 210, Fort Wayne, IN 46805-4788 | 2006-11-06 |
| 1598776668 | Scott L. Palmer | Urology | 11108 Parkview Circle Dr, Fort Wayne, IN 46845-1730 | 2006-08-11 |
| 1831100015 | Satish Velagapudi | Urology | 1818 Carew St, Suite 210, Fort Wayne, IN 46805-4788 | 2006-08-11 |
| 1407867047 | Craig Hamilton | Urology | 1818 Carew St, Suite 210, Fort Wayne, IN 46805-4788 | 2006-08-10 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46805 |
Please comment or provide details below to improve the information on RHYS RUDOLPH.
| 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.