ANDREW C RUTHERFORD (NPI# 1629487301) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629487301 |
| Entity Type | Individual |
| Full Name | ANDREW C RUTHERFORD |
| Credential | PA-C |
| Practice Address |
250 Main St Suite A Cadiz KY 42211-9153 |
| Mailing Address |
4208 Victoria Way Lexington KY 40515-4822 |
| Practice Telephone | 2705223444 |
| Mailing Telephone | 2705223444 |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2015-11-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | PA1945 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | STATE LICENSE | PA1945 | 01 |
| NATIONAL COMMISSION ON CERTIFICATION OF PHYSICIAN ASSISTANTS | 1120392 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568656940 | Andrew L Rutherford | Internal Medicine | 16404 Swan View Cir, Odessa, FL 33556-4938 | 2007-08-29 |
| 1003046020 | Andrew Crighton Rutherford | Emergency Medicine | 1011 N Galloway Ave, Mesquite, TX 75149-2433 | 2009-07-24 |
| Street Address |
250 MAIN ST SUITE A |
| City | CADIZ |
| State | KY |
| Zip Code | 42211-9153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326424177 | Maanya LLC | Internal Medicine | 250 Main St, Suite A, Cadiz, KY 42211 | 2015-08-04 |
| 1760887491 | Trigg County Hospital, Inc | Internal Medicine | 250 Main St, Cadiz, KY 42211-9153 | 2014-10-23 |
| 1942437603 | Vaishali Harshul Patel | Emergency Medicine | 250 Main St, Cadiz, KY 42211-9153 | 2009-06-19 |
| 1881852317 | Shea Godwin Md Psc | Clinic/Center | 250 Main St, Suite E, Cadiz, KY 42211-9153 | 2008-05-31 |
| 1649319518 | Lillian E Gierhart | Nurse Practitioner | 250 Main St, Cadiz, KY 42211-9153 | 2007-02-06 |
| 1932262268 | James A Brazil | Family Medicine | 250 Main St, Ste D, Cadiz, KY 42211-9153 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063963676 | Ashleigh Dena Laffoon | Nurse Practitioner | 250 Main St Ste A, Cadiz, KY 42211 | 2016-10-18 |
| 1083088512 | Fred's Stores of Tennessee Inc. | Pharmacy | 1938 Main Street, Cadiz, KY 42211 | 2015-11-20 |
| 1962849604 | Ronald Eugene Hoffman IIi | Dentist | 5269 Hopkinsville Rd, Cadiz, KY 42211 | 2013-06-03 |
| 1093056038 | Mary Sullivan Jolly | Nurse Practitioner | 250 Main Street, Suite E, Cadiz, KY 42211 | 2013-03-14 |
| 1770737728 | Trigg County Home Health, Inc. | Case Management | 1724 Canton Road, Cadiz, KY 42211 | 2008-11-04 |
| 1184824195 | Carla June Benbrook | Occupational Therapy Assistant | Shady Lawn, 2582 Cerulean Rd, Cadiz, KY 42211 | 2007-07-19 |
| 1508064965 | Michel Renee Vagts | Physical Therapist | 2582 Ceulean Rd, Cadiz, KY 42211 | 2007-07-06 |
| 1578680757 | Pennyrile District Health Department | Public Health or Welfare | 196 Main St., Cadiz, KY 42211 | 2007-03-23 |
| 1538257910 | Shea A. Godwin | Family Medicine | 250 Main St., Suite E, Cadiz, KY 42211 | 2006-10-10 |
| 1144315771 | Catherine R Galla | Internal Medicine | 263 Main St, Cadiz, KY 42211 | 2006-10-03 |
| Find all providers in zip 42211 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497364335 | Ryan Williamson | Physician Assistant | 1149 Delaney Ferry Rd, Nicholasville, KY 40356-8727 | 2020-07-27 |
| 1811518541 | Autumn Rose Ballard | Physician Assistant | 141 Mallard Dr, Frankfort, KY 40601-8647 | 2020-05-05 |
| 1558982348 | Damian Morriston | Physician Assistant | 7088 Aspen Grove Ct, Louisville, KY 40241-2522 | 2020-05-03 |
| 1063041457 | Molly Ritter | Physician Assistant | 2310 Woodbourne Ave Apt 13, Louisville, KY 40205-1752 | 2020-04-07 |
| 1710525944 | Aaron Dewayne Petrey | Physician Assistant | 475 N Highway 25 W Ste 100, Williamsburg, KY 40769-1576 | 2019-12-18 |
| 1437704921 | Daniel Lee Mullins | Physician Assistant | 122 Travis Way, Georgetown, KY 40324-0500 | 2019-08-02 |
| 1871150649 | East Ky Health Service Center | Physician Assistant | 566 Highway 899 # 849, Hindman, KY 41822-8955 | 2019-05-28 |
| 1629533310 | Michelle Ladanyi | Physician Assistant | 1140 Lexington Rd Ste 102, Georgetown, KY 40324-9330 | 2019-02-06 |
| 1629582739 | Addie C Rosenberger | Physician Assistant | 200 E Chestnut St Bldg Ste 303, Louisville, KY 40202-1831 | 2017-11-28 |
| 1255788725 | Affinity Health Care Psc | Physician Assistant | 22055 Main St, Hyden, KY 41749-8568 | 2016-05-15 |
| 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.