LEONARD M. RUDOLF (NPI# 1952388712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952388712 |
| Entity Type | Individual |
| Full Name | LEONARD M. RUDOLF |
| Credential | M.D |
| Practice Address |
17 Alice Peck Day Dr Unit C Lebanon NH 03766-2684 |
| Mailing Address |
10 Alice Peck Day Dr Lebanon NH 03766-2694 |
| Practice Telephone | 6034486344 |
| Practice Fax Number | 6034483405 |
| Mailing Telephone | 6034483121 |
| Mailing Fax Number | 6034487462 |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2017-05-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | 0420007597 | VT | Allopathic & Osteopathic Physicians |
| Y | 207X00000X | Orthopaedic Surgery | 7449 | NH | Allopathic & Osteopathic Physicians |
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
7449 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VT | 0009184 | 05 | |
| NH | 30207509 | 05 | |
| NH | MEDICARE PTAN | NH0016 | 01 |
| NH | MEDICARE B PTAN | VN224302 | 01 |
| Street Address |
17 ALICE PECK DAY DR UNIT C |
| City | LEBANON |
| State | NH |
| Zip Code | 03766-2684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700842721 | Rebecca A. Van Dolah | Specialist/Technologist | 17 Alice Peck Day Dr Unit C, Lebanon, NH 03766-2684 | 2006-04-26 |
| 1528028610 | John P Houde | Orthopaedic Surgery | 17 Alice Peck Day Dr Unit C, Lebanon, NH 03766-2684 | 2006-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033580345 | Leah E Abrahamsen | Social Worker | 85 Mechanic Street Suite 3b-1, Dartmouth Hitchcock - Psychiatry, Lebanon, NH 03766 | 2015-10-13 |
| 1871982801 | Steps Opioid Addiction Treatment | Clinic/Center | 1 Glen Road, Suite 216, Lebanon, NH 03766 | 2015-01-14 |
| 1811282288 | Lisa Golden Morse | Occupational Therapist | 23 Mahon St, Lebanon, NH 03766 | 2011-06-14 |
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1457673857 | Melanie A Baker | Dental Hygienist | One Court Street, Suite 270, Lebanon, NH 03766 | 2010-02-26 |
| 1568613073 | Peter Keith Isquith | Clinical Neuropsychologist | 367 Route 120 Unit B1, Hanover Road Professional Center, Lebanon, NH 03766 | 2008-10-02 |
| 1235317512 | Leslie Sudak | Speech-Language Pathologist | 10 Mascoma St, Lebanon, NH 03766 | 2008-02-08 |
| 1891973269 | Dc Whitfield | Nurse Practitioner | 20 W Park St Ste 418, Lebanon, NH 03766 | 2008-02-07 |
| 1588879951 | Charles R Meyers | Acupuncturist | 2 Whipple Place, Lebanon, NH 03766 | 2007-05-11 |
| 1285859686 | Thomas A Johnston | Dentist | 206 Heater Road, Lebanon, NH 03766 | 2007-04-13 |
| Find all providers in zip 03766 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750607131 | Timothy Joseph Lin | Orthopaedic Surgery | 1 Medical Center Drive Orthopaedics, Lebanon, NH 03766 | 2010-04-11 |
| 1518029388 | Regional Orthopedic Associates, P.C. | Orthopaedic Surgery | 410 Cumberland Street, Lebanon, PA 17042-1704 | 2006-12-15 |
| 1417900598 | William C. Robertson Jr. | Orthopaedic Surgery | 55 Twin Oaks Ave, Suite D-5, Lebanon, OR 97355-2864 | 2006-05-18 |
| 1184683179 | Petty Orthopaedics PC | Orthopaedic Surgery | 1616 W. Main St., Suite 300, Lebanon, TN 37087 | 2006-03-20 |
| 1861460958 | Terrance C Devlin | Orthopaedic Surgery | 2705 N Lebanon St Ste 210, Lebanon, IN 46052-8622 | 2006-03-14 |
| 1851367015 | Lance O Yarus | Orthopaedic Surgery | 410-12 Cumberland St, Lebanon, PA 17042-5314 | 2006-02-27 |
| 1487639415 | John E Garber | Orthopaedic Surgery | 2705 N Lebanon St Ste 220, Lebanon, IN 46052-8622 | 2005-12-13 |
| 1649271206 | Roy C. Terry | Orthopaedic Surgery | 101 Physicians Way, Ste. 111, Lebanon, TN 37090 | 2005-08-04 |
| 1457998379 | Specialty Orthopedic Group Tennessee | Orthopaedic Surgery | 365 S Hartmann Dr Ste 106, Lebanon, TN 37087-4788 | 2019-12-10 |
| 1700242682 | Orthopedic Assoc of Lancaster Ltd | Orthopaedic Surgery | 1701 Cornwall Rd, Suite 200, Lebanon, PA 17042-7480 | 2016-01-08 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on LEONARD M. RUDOLF.
| 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.