MARK W. RUDEMILLER (NPI# 1609821255) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609821255 |
| Entity Type | Individual |
| Full Name | MARK W. RUDEMILLER |
| Credential | M.D. |
| Practice Address |
6350 Glenway Ave 205 Cincinnati OH 45211-6378 |
| Mailing Address |
Po Box 635156 Cincinnati OH 45263-0001 |
| Practice Telephone | 5134810900 |
| Practice Fax Number | 5134810904 |
| Mailing Telephone | 5134810900 |
| Mailing Fax Number | 5134810904 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35047292 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0569915 | 05 |
| Street Address |
6350 GLENWAY AVE 205 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45211-6378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728626 | Roshni Shetty | Internal Medicine | 6350 Glenway Ave, Suite 400, Cincinnati, OH 45211-6378 | 2005-05-30 |
| 1912384058 | Eric Tungol | Nurse Practitioner | 6350 Glenway Ave, Suite 305, Cincinnati, OH 45211-6378 | 2015-04-28 |
| 1053717025 | Kadi Carmosino | Physical Therapist | 6350 Glenway Ave, Ste 415, Cincinnati, OH 45211-6378 | 2014-11-18 |
| 1104249051 | Mercy Health Physicians Cincinnati LLC | Durable Medical Equipment & Medical Supplies | 6350 Glenway Ave, Suite 415, Cincinnati, OH 45211-6397 | 2014-01-29 |
| 1104248129 | Kimberly Kay Benkner | Nurse Practitioner | 6350 Glenway Ave, Cincinnati, OH 45211-6378 | 2014-01-09 |
| 1346670866 | Trihealth Os, LLC | Orthopaedic Surgery | 6350 Glenway Ave, Suite 400, Cincinnati, OH 45211-6378 | 2013-11-19 |
| 1306289541 | Patrick J Massa | Family Medicine | 6350 Glenway Ave, Suite 205, Cincinnati, OH 45211-6378 | 2013-04-08 |
| 1912258963 | Lisa Michelle Byrd | Nurse Practitioner | 6350 Glenway Ave, Suite 400, Cincinnati, OH 45211-6378 | 2012-09-29 |
| 1497017990 | Stephanie Manolis | Obstetrics & Gynecology | 6350 Glenway Ave, Suite 401, Cincinnati, OH 45211-6378 | 2012-06-11 |
| 1275800237 | Family Foot & Ankle Center Inc Pa | Podiatrist | 6350 Glenway Ave, Suite 301, Cincinnati, OH 45211-6378 | 2011-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649772666 | Holly Hornfeck | Case Manager/Care Coordinator | 3030 West Fork Rd, Cincinnati, OH 45211 | 2018-03-06 |
| 1972029890 | Patrick Maurice Lee-mitchell Sr. | Assisted Living Facility | 3403 Mayfair Ave, Cincinnati, OH 45211 | 2017-08-22 |
| 1902321847 | Tracey M Howard | Licensed Practical Nurse | 2661 Westwood Northern Blvd, Cincinnati, OH 45211 | 2017-08-11 |
| 1740712900 | Kenya Railey | Social Worker | 3325 Glenmore Avwe, Cincinnati, OH 45211 | 2017-03-28 |
| 1942742978 | Benjamin Allen Barnes | Nurse Practitioner | 3300 Mercy Health Blvd., Cincinnati, OH 45211 | 2016-11-08 |
| 1720530132 | Kandise Cook | Licensed Vocational Nurse | 2610 Morningdale Ct, Cincinnati, OH 45211 | 2016-11-02 |
| 1942759659 | Jasmine L Williams | Technician | 2813 Temple Ave, Apt 1, Cincinnati, OH 45211 | 2016-09-23 |
| 1528465457 | Continuous Living Inc. | Point of Service | 3516 Harrison Ave Suit B, Cincinnati, OH 45211 | 2014-11-20 |
| 1144620865 | Marlo Herring | Home Health Aide | 2864 Shaffer Ave, Cincinnati, OH 45211 | 2014-08-29 |
| 1578981759 | Healing Hands Health Care Service, LLC | In Home Supportive Care | 2915 Wardall Avenue, Cincinnati, OH 45211 | 2014-04-03 |
| Find all providers in zip 45211 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1861021016 | Md360, LLC | Family Medicine | 4605 E Galbraith Rd Ste 110, Cincinnati, OH 45236-2887 | 2020-04-08 |
| 1851942700 | Eastside Family Care, LLC | Family Medicine | 872 Ohio Pike Ste B, Cincinnati, OH 45245-2204 | 2019-09-23 |
| 1669932224 | Andrea Marie Rosado | Family Medicine | 2123 Auburn Ave Ste 340, Cincinnati, OH 45219-2906 | 2019-03-20 |
| 1386109783 | Pamela Dawn Holland | Family Medicine | 626 Arlington Dr, Cincinnati, OH 45244-1310 | 2019-02-10 |
| 1427554682 | Laura Ledvora | Family Medicine | 2139 Auburn Ave Ste 235, Cincinnati, OH 45219-2906 | 2018-04-04 |
| 1609394907 | Maureen Elizabeth Rooney | Family Medicine | 7502 State Rd Ste 3350, Cincinnati, OH 45255-2801 | 2017-09-07 |
| 1396267530 | Midwest Health Group LLC | Family Medicine | 1420 E Mcmillan St Fl 3, Cincinnati, OH 45206-2225 | 2017-07-10 |
| 1508392671 | Jennifer Lynn Bauer | Family Medicine | 1128 Gracewind Ct, Cincinnati, OH 45231-4604 | 2017-05-10 |
| 1073977740 | Michael Putnam | Family Medicine | 2123 Auburn Ave. Tch Family Medicine, Suite 235, Cincinnati, OH 45219 | 2016-04-08 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45211 |
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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.