Charles J Rudolph Jr. (NPI# 1497831267, PAC ID# 1557415015) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497831267 |
| PAC ID by PECOS | 1557415015 |
| Professional Enrollment ID | I20100524000705 |
| Full Name | Charles J Rudolph Jr. |
| Organization Legal Name | MCDONAGH MEDICAL CENTER,INC. |
| Address |
2800 Ne Kendallwood Pkwy Suite A Gladstone MO 64119-2097 |
| Phone Number | 8164535940 |
| Gender | M |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 1977 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialties | ALLERGY/IMMUNOLOGY, PREVENTATIVE MEDICINE |
| Group Practice PAC ID | 2062467723 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 2800 Ne Kendallwood Pkwy, Suite A, Gladstone, MO 64119-2097 | 8164535940 | MCDONAGH MEDICAL CENTER,INC. |
| Organization Legal Name | MCDONAGH MEDICAL CENTER,INC. |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carey K Wennerstrom | Family Medicine | Mcdonagh Medical Center,inc. | 2800 Ne Kendallwood Pkwy, Suite A, Gladstone, MO 64119-2097 |
| Street Address |
2800 NE KENDALLWOOD PKWY SUITE A |
| City | GLADSTONE |
| State | MO |
| Zip | 64119-2097 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carey K Wennerstrom | Family Medicine | Mcdonagh Medical Center,inc. | 2800 Ne Kendallwood Pkwy, Suite A, Gladstone, MO 64119-2097 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shawna D Heintz | Optometry | 7201 N M1 Hwy, Gladstone, MO 64119 | |
| Jay P Sportsman | Chiropractic | 2909 Ne Brooktree Lane, Sportsman Chiropractic, Gladstone, MO 64119 | |
| Trey J Hilt | Chiropractic | Infinity Chiropractic and Acupuncture | 8002 N Brighton Ave, Kansas City, MO 64119-1411 |
| Nichole Mf Hilt | Chiropractic | Infinity Chiropractic and Acupuncture | 8002 N Brighton Ave, Kansas City, MO 64119-1411 |
| Jessica L Treece | Emergency Medicine | Jayhawk Primary Care Inc | 6420 N Prospect Ave, Creekwood Family Care, Gladstone, MO 64119-1530 |
| Valentenia Daugherty | Podiatry | Preferred Podiatry Group PC | 3000 Ne 64th St, Gladstone, MO 64119-1569 |
| Richard M Steffen | Chiropractic | 6505 N Prospect, Suite 700, Gladstone, MO 64119-1570 | |
| Innocent O Anya | Psychiatry | 3000 Ne Brooktree Ln, Suite 200, Gladstone, MO 64119-1861 | |
| Alyssa Baily Sherwood | Optometry | Viking Vision Inc | 5769 Ne Antioch Rd, In Vision Eye Care Center Gladstone, Gladstone, MO 64119-2017 |
| Shawnda R Gross | Chiropractic | 5737 Ne Antioch Rd, Gladstone, MO 64119-2017 | |
| Find all physicians in zip 64119 | |||
| City | GLADSTONE |
| Zip Code | 64119 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GLADSTONE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Charles J Rudolph Jr..
| 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.