Michael J Rutledge (NPI# 1568575314, PAC ID# 3072504810) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1568575314 |
PAC ID by PECOS | 3072504810 |
Professional Enrollment ID | I20040520001078 |
Full Name | Michael J Rutledge |
Address |
4 Rd Suite 3641 Aztec NM 87410-9562 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
Graduation Year | 1981 |
Primary Specialty | FAMILY MEDICINE |
Secondary Specialties | DERMATOLOGY |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
320005 | SAN JUAN REGIONAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
4 Rd, Suite 3641, Aztec, NM 87410-9562 |
Street Address |
4 RD SUITE 3641 |
City | AZTEC |
State | NM |
Zip | 87410-9562 |
Name | Specialty | Organization | Address |
---|---|---|---|
Nathan Anthony Douglas Mcclain | Chiropractic | 1409 W Aztec Blvd, Suite 8, Aztec, NM 87410-1874 | |
Margaret I Gores | Physical Therapy | Physical Therapy and Sports Medicine of Northern New Mexico, Inc. | 505 N Main Ave, Aztec, NM 87410-1975 |
Sid S Mosiman | Physical Therapy | Physical Therapy and Sports Medicine of Northern New Mexico, Inc. | 505 N Main Ave, Aztec, NM 87410-1975 |
Summer L Graham | Chiropractic | 318 E Chuska St, Aztec, NM 87410-2115 | |
Ian T Kirste | Optometry | 121 S Main Ave, Optik Icare Iwear, Aztec, NM 87410-2120 | |
Jonathan D Kelly | Physician Assistant | San Juan Regional Medical Center Inc | 120 Llano St, Aztec, NM 87410-2172 |
Frank W Arnold | Family Medicine | San Juan Regional Medical Center Inc | 120 Llano St, Aztec, NM 87410-2172 |
Christen Marie Janney | Nurse Practitioner | San Juan Regional Medical Center Inc | 120 Llano St, Aztec, NM 87410-2172 |
William R Barkman | Family Medicine | San Juan Regional Medical Center Inc | 120 Llano St, Aztec, NM 87410-2172 |
Bryan S Poe | Family Medicine | 406 S Park Ave, Aztec, NM 87410-2226 | |
Find all physicians in zip 87410 |
City | AZTEC |
Zip Code | 87410 |
Specialty | FAMILY MEDICINE |
City + Specialty | AZTEC + FAMILY MEDICINE |
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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.