DR. TIFFANY F RUDLOE (NPI# 1700097698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700097698 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY F RUDLOE |
| Credential | MD |
| Practice Address |
32 Resort Way Ellsworth ME 04605-1717 |
| Mailing Address |
50 Union St Maine Coast Pediatrics Ellsworth ME 04605-1534 |
| Practice Telephone | 2076647744 |
| Practice Fax Number | 2076647724 |
| Mailing Telephone | 2076647744 |
| Mailing Fax Number | 2076647724 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2013-07-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD19683 | ME | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 227781 | MA | Allopathic & Osteopathic Physicians |
| Street Address |
32 RESORT WAY |
| City | ELLSWORTH |
| State | ME |
| Zip Code | 04605-1717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720056328 | Robert L Pinsky | Internal Medicine | 32 Resort Way, Ellsworth Internal Medicine, Ellsworth, ME 04605 | 2006-03-09 |
| 1144830126 | Sarah J Somers | Nurse Practitioner | 32 Resort Way, Ellsworth, ME 04605-1717 | 2020-08-05 |
| 1659790996 | Carolyn A Stwertka | Pediatrics | 32 Resort Way, Ellsworth, ME 04605-1717 | 2014-04-15 |
| 1790037620 | Laura M Marlowe-flanagan | Internal Medicine | 32 Resort Way, Ellsworth, ME 04605-1717 | 2012-10-02 |
| 1851543698 | Lisa M Allen | Physician Assistant | 32 Resort Way, Maine Coast Pediatrics, Ellsworth, ME 04605-1717 | 2008-10-10 |
| 1417107863 | Heidi W. Harmon | Nurse Practitioner | 32 Resort Way, Ellsworth Family Practice, Ellsworth, ME 04605-1717 | 2008-09-23 |
| 1073711032 | Christina Ruda Seed | Family Medicine | 32 Resort Way, Ellsworth, ME 04605-1717 | 2007-07-10 |
| 1821112236 | Elizabeth Diane Byard | Nurse Practitioner | 32 Resort Way, Ellsworth Family Practice, Ellsworth, ME 04605-1717 | 2007-03-19 |
| 1043348527 | Lisa Grant | Nurse Practitioner | 32 Resort Way, Ellsworth, ME 04605 | 2007-02-28 |
| 1528163342 | Robert Allen Beekman | Pediatrics | 32 Resort Way, Maine Coast Pediatrics, Ellsworth, ME 04605-1717 | 2006-09-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760940464 | Mary Elizabeth Wagstaff | Occupational Therapist | Seaport Village Healthcare, 19 General Moore Way, Ellsworth, ME 04605 | 2019-03-12 |
| 1154784668 | Black Dog Medical Pa | Internal Medicine | 11 Madison Avenue, Lamoine, ME 04605 | 2016-04-01 |
| 1528466687 | Eyecare Now | Point of Service | 248 State St., Ste. 7, Ellsworth, ME 04605 | 2014-12-05 |
| 1104245364 | Elizabeth Arntzen | Massage Therapist | 61 Pine St., Ellsworth, ME 04605 | 2014-04-15 |
| 1992144794 | Kenneth L Senter | Family Medicine | 248 State St., Ellsworth Free Medical Clinic, Ellsworth, ME 04605 | 2013-06-14 |
| 1639465248 | Lynne Marie Betz | Dental Hygienist | 52 Christian Ridge Road, Ellsworth, ME 04605 | 2011-06-22 |
| 1215238431 | Kimberly Ann Burgess | Social Worker | 23 Carriage Way, Ellsworth, ME 04605 | 2010-11-04 |
| 1962713115 | Springy Pond Farm | Voluntary or Charitable | 562 Springy Pond Rd., Otis, ME 04605 | 2010-06-23 |
| 1851629851 | Astor Charlene Gillis | Counselor | 59 Franklin St., Suite B, Ellsworth, ME 04605 | 2009-12-02 |
| 1326372723 | Patricia Brown Orchard | Community Health Worker | 10 Water Street, Suite 124, Ellsworth, ME 04605 | 2009-10-01 |
| Find all providers in zip 04605 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598152035 | Maine Coast Regional Health Facilities | Pediatrics | 50 Union St, Ellsworth, ME 04605-1534 | 2015-04-22 |
| 1659790996 | Carolyn A Stwertka | Pediatrics | 32 Resort Way, Ellsworth, ME 04605-1717 | 2014-04-15 |
| 1528163342 | Robert Allen Beekman | Pediatrics | 32 Resort Way, Maine Coast Pediatrics, Ellsworth, ME 04605-1717 | 2006-09-14 |
| 1679517668 | Douglas Neal Macgregor | Pediatrics | 32 Resort Way, Ellsworth, ME 04605-1717 | 2006-06-16 |
| 1174562078 | Sheena E Whittaker | Pediatrics | 32 Resort Way, Maine Coast Pediatrics, Ellsworth, ME 04605-1717 | 2006-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059111 | Harbor Pediatrics, P.a. | Pediatrics | 1 Brickyard Ln Unit B, York, ME 03909-1686 | 2019-12-09 |
| 1639681307 | Strong Mind Strong Body, P.C. | Pediatrics | 3 Jacobs Ave, Camden, ME 04843-2009 | 2017-11-02 |
| 1578095212 | Jennifer Janet Paul | Pediatrics | 16 Fahy St Ste 107, Belfast, ME 04915-6029 | 2017-03-31 |
| 1932552106 | Aardvark Pediatrics LLC | Pediatrics | 9 Marston St Ste 6, Norway, ME 04268-5781 | 2016-07-22 |
| 1861800765 | Maria Eugenia Gonzalez Rutmann | Pediatrics | 23 North St Ste 1, Presque Isle, ME 04769-2295 | 2014-07-24 |
| 1760805659 | Anthony Joseph Pileggi | Pediatrics | 48 75th Fire Road, South China, ME 04358 | 2014-01-28 |
| 1801186010 | Margaret E. Grala | Pediatrics | 100 Foden Rd,west, Suite 303, South Portland, ME 04106 | 2011-04-10 |
| 1104144666 | Margaret Elizabeth Kloby | Pediatrics | 7 Madelyn Ln Ste B, Rockport, ME 04856-4460 | 2010-05-08 |
| 1801113386 | Gerard Rubin | Pediatrics | 6 E Chestnut St Ste 310, Augusta, ME 04330-5717 | 2010-04-23 |
| 1831416452 | Sei-gyung Kim Sze | Pediatrics | 100 Campus Dr Unit 107, Scarborough, ME 04074 | 2010-04-21 |
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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.