GREGORY D RUDOLF (NPI# 1871524728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871524728 |
| Entity Type | Individual |
| Full Name | GREGORY D RUDOLF |
| Credential | MD |
| Practice Address |
600 Broadway Ste 530 Seattle WA 98122 |
| Mailing Address |
Po Box 25608 Salt Lake City UT 84125-0608 |
| Practice Telephone | 2063862013 |
| Practice Fax Number | 2063862149 |
| Mailing Telephone | 2063204476 |
| Mailing Fax Number | 2065687043 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2019-01-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171100000X | Acupuncturist | MD00041809 | WA | Other Service Providers |
| N | 207Q00000X | Family Medicine | MD00041809 | WA | Allopathic & Osteopathic Physicians |
| N | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
MD00041809 | WA | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
MD00041809 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1120542 | 05 | |
| WA | 1871524728 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 16th Ave Ste 100, Seattle, WA 981225636 | 2063202484 | 2063204568 |
| Street Address |
600 BROADWAY STE 530 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811978976 | Christopher David Merifield | Anesthesiology | 600 Broadway Ste 530, Seattle, WA 98122 | 2005-11-07 |
| 1669985677 | Kristin Michelle Vinci | Physical Therapist | 600 Broadway Ste 530, Seattle, WA 98122 | 2017-11-13 |
| 1104350446 | Robert W Bailey | Psychologist | 600 Broadway Ste 530, Seattle, WA 98122-5396 | 2017-04-13 |
| 1376982496 | Fangfang Xing | Anesthesiology | 600 Broadway Ste 530, Seattle, WA 98122-5396 | 2013-06-21 |
| 1285994699 | Wilson Joon Chang | Physical Medicine & Rehabilitation | 600 Broadway Ste 530, Seattle, WA 98122-5396 | 2012-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053938506 | Quality Counseling and Consultation Service LLC | Counselor | 1525 Harvard Ave #509, Seattle, WA 98122 | 2020-07-01 |
| 1912535626 | Cesar Andrade | Student in an Organized Health Care Education/Training Program | 550 16th Avenue #400, Seattle, WA 98122 | 2020-03-29 |
| 1366089666 | Peter Nguyen | Pharmacy Technician | 914 East Jefferson Street, Campion Hall, Seattle, WA 98122 | 2019-12-05 |
| 1356903140 | Jason Dandino | Specialist/Technologist | 550 14th Avenue, Seattle, WA 98122 | 2019-07-02 |
| 1962066415 | Seattle Colleges | Local Education Agency (LEA) | Mainstay At Seattle Central College, 1701 Broadway Ms Be3210, Seattle, WA 98122 | 2019-04-30 |
| 1538621412 | Mitchell R Ornelas | Student in an Organized Health Care Education/Training Program | Swedish Family Medicine Residency Cherry Hill; 550 16th, Avenue #400, Seattle, WA 98122 | 2019-04-01 |
| 1003374265 | Michael Russell | Surgery | 747 Broadway Heath Building 10th Floor, Seattle, WA 98122 | 2019-03-06 |
| 1639646821 | Maritza E Cajiao | Doula | 747 Broadway, Seattle, Seattle, WA 98122 | 2018-10-25 |
| 1336616762 | Suzanna M Lovin | Social Worker | 401 Broadway, 1st Floor, Seattle, WA 98122 | 2018-10-24 |
| 1184137770 | Walter Franklin Krengel Jr. | Orthopaedic Surgery | 2000 1st Ave Suite 2201, Seattle, WA 98122 | 2017-11-06 |
| Find all providers in zip 98122 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811332539 | Association of University Physicians | Pain Medicine | 1959 Ne Pacific St, Uwmc Pain Clinic, Seattle, WA 98195-0001 | 2013-05-08 |
| 1972777951 | Seattle Pain Center Medical Corporation | Pain Medicine | 1536 N 115th St, #310, Seattle, WA 98133-8400 | 2008-04-21 |
| 1457460578 | John David Sinclair | Pain Medicine | 155 Ne 100th St, Ste 402, Seattle, WA 98125-8012 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457918831 | Ketamine Wellness Centers Washington, LLC | Pain Medicine | 34709 9th Ave S Ste B200, Federal Way, WA 98003-8724 | 2019-05-21 |
| 1326485236 | Seattle Pain Center Medical Corporation | Pain Medicine | 801 Sw 16th St., Ste. 121, Renton, WA 98057-2628 | 2013-05-31 |
| 1376604843 | Gregory D. Sharp | Pain Medicine | 4140 Meridian Street, Suite 200, Bellingham, WA 98226-5576 | 2006-12-12 |
| 1063403897 | Todd John Baumeister | Pain Medicine | 7500 212th St Sw, Suite 212, Edmonds, WA 98026-7641 | 2005-11-01 |
| 1356960769 | Pain Care Physicians Pllc | Pain Medicine | 155 Lilly Rd Ne Ste A, Olympia, WA 98506-5028 | 2020-04-15 |
| 1477116697 | Pain Care Physicians Pllc | Pain Medicine | 3305 Nassau St, Everett, WA 98201-4140 | 2019-04-15 |
| 1619530839 | Pain Care Physicians Pllc | Pain Medicine | 155 Lilly Rd Ne, Olympia, WA 98506-5028 | 2019-04-15 |
| 1679012025 | Karen J Fahey Md | Pain Medicine | 205 15th Ave Sw, Suite D, Puyallup, WA 98371-7873 | 2017-02-17 |
| 1548710585 | Pain Care Physicians Pllc | Pain Medicine | 1414 N Vercler Rd, Spokane Valley, WA 99216-1092 | 2016-10-13 |
| 1144779232 | Pain Care Physicians Pllc | Pain Medicine | 801 Sw 16th St, Suite 121, Renton, WA 98057 | 2016-09-29 |
| 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.