Nicholas Lee Rudolph (NPI# 1104312834, PAC ID# 0143561126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1104312834 |
| PAC ID by PECOS | 0143561126 |
| Professional Enrollment ID | I20190702000168 |
| Full Name | Nicholas Lee Rudolph |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Address |
14712 Victor Hugo Blvd N Hugo MN 55038-6419 |
| Phone Number | 6514661900 |
| Gender | M |
| Graduation Year | 2018 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 1951213057 |
| Number of Group Practice Members | 1400 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 14712 Victor Hugo Blvd N, Hugo, MN 55038-6419 | 6514661900 | FAIRVIEW HEALTH SERVICES |
| Organization Legal Name | FAIRVIEW HEALTH SERVICES |
| Physicians | 1502 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly L Nguyen | Nurse Practitioner | Fairview Health Services | 13819 Hanson Blvd Nw, Andover, MN 55304-7608 |
| Andrew Caraganis | Pulmonary Disease | Fairview Health Services | 5200 Fairview Blvd, Wyoming, MN 55092-8013 |
| Molly Levy | Nurse Practitioner | Fairview Health Services | 911 Northland Dr, Princeton, MN 55371-2172 |
| Justin C Boeke | Obstetrics/gynecology | Fairview Health Services | 25945 Gateway Dr, Zimmerman, MN 55398-5300 |
| Steven Alex Rizzi | Optometry | Fairview Health Services | 6341 University Ave Ne, Fridley, MN 55432-4946 |
| David Allen Supik | Family Medicine | Fairview Health Services | 14500 N 99th Ave, 1a038, Maple Grove, MN 55369-4730 |
| Hilary Wilde | Registered Dietitian Or Nutrition Professional | Fairview Health Services | 10000 Zane Ave N, Brooklyn Park, MN 55443-1400 |
| Nhat Anh Ngo | General Surgery | Fairview Health Services | 919 Northland Dr, Princeton, MN 55371-2172 |
| Sarah Nicole Olson Venning | Clinical Social Worker | Fairview Health Services | 14500 99th Ave N, Suite 210, Maple Grove, MN 55369-4739 |
| Michaela M Monetti | Psychologist, Clinical | Fairview Health Services | 7455 Village Dr, Lino Lakes, MN 55014-1181 |
| Street Address |
14712 VICTOR HUGO BLVD N |
| City | HUGO |
| State | MN |
| Zip | 55038-6419 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joshua Steven Anderberg | Chiropractic | 14665 Mercantile Dr N, Suite 100, Hugo, MN 55038-4559 | |
| Scott A Oakman | Psychiatry | Group Health Plan Inc | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Erin N Dehn | Physician Assistant | Group Health Plan Inc | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Brittany K Hagen | Physician Assistant | Group Health Plan Inc | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Rosalynn Vertiz-hackett | Physician Assistant | Group Health Plan Inc | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Rebecca M Koerner | Physical Medicine and Rehabilitation | Group Health Plan Inc | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Erika Lee Jarvey | Physician Assistant | Group Health Plan Inc | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Sarah A Mazig | Internal Medicine | Group Health Plan Inc | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Carissa Lynn Valeri | Physician Assistant | Group Health Plan Inc | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Franklin C Fleming | Internal Medicine | Group Health Plan Inc | 14701 Victor Hugo Blvd N, Hugo, MN 55038-4561 |
| Find all physicians in zip 55038 | |||
| City | HUGO |
| Zip Code | 55038 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | HUGO + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Nicholas Lee Rudolph.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.