Jason Ross Rudman (NPI# 1487072229, PAC ID# 4587096599) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1487072229 |
| PAC ID by PECOS | 4587096599 |
| Professional Enrollment ID | I20191113001080 |
| Full Name | Jason Ross Rudman |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Address |
965 Mattox Dr Sullivan MO 63080-2365 |
| Phone Number | 3149964790 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | OTOLARYNGOLOGY |
| Group Practice PAC ID | 3072421254 |
| Number of Group Practice Members | 348 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 260108 | MISSOURI BAPTIST MEDICAL CENTER |
| 261337 | MISSOURI BAPTIST SULLIVAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2630 Hwy K, O Fallon, MO 63368-6624 | 6362405454 | PHYSICIAN GROUPS LC |
| 3015 N Ballas Rd, Mbmc Hospitalists, Saint Louis, MO 63131-2329 | 3149965772 | PHYSICIAN GROUPS LC |
| 3009 N Ballas, St Louis, MO 63131-2324 | PHYSICIAN GROUPS LC | |
| 3009 N Ballas Rd, 351c Ballas Ent Consultants, St Louis, MO 63131-2324 | 3149964790 | PHYSICIAN GROUPS LC |
| 965 Mattox Dr, Sullivan, MO 63080-2365 | 3149964790 | PHYSICIAN GROUPS LC |
| Organization Legal Name | PHYSICIAN GROUPS LC |
| Physicians | 360 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John David Edward Cooper | Obstetrics/gynecology | Physician Groups Lc | 1103 W Liberty St, Farmington, MO 63640-1986 |
| Kwabena Owusu Dekyi | Family Medicine | Physician Groups Lc | 7415 A N Lindbergh Blvd, Hazelwood, MO 63042-2120 |
| Amy Elizabeth Roberts | Family Medicine | Physician Groups Lc | 8888 Ladue Rd, Suite 210, Saint Louis, MO 63124-2005 |
| Jane Isabelle Foreman | Nurse Practitioner | Physician Groups Lc | 605 C Douglas Dr, Ashland, MO 65010-9088 |
| Shahed N Badiyan | Radiation Oncology | Physician Groups Lc | 150 Entrance Way, Siteman Cancer Center, Saint Peters, MO 63376-1645 |
| Carlos A Rubio-reyes | Family Medicine | Physician Groups Lc | 900 Rain Forest Pkwy, Suite B, Columbia, MO 65202-3796 |
| Mindy Lou Doscher | Nurse Practitioner | Physician Groups Lc | 900 W Nifong Blvd, Suite 101, Columbia, MO 65203-4469 |
| Sarah Z Martin | Nurse Practitioner | Physician Groups Lc | 3844 S Lindbergh Blvd, Suite 120, Saint Louis, MO 63127-1369 |
| Mary Hoang | Family Medicine | Physician Groups Lc | 6261 Ronald Reagan Dr, Suite B19, Lake Saint Louis, MO 63367-2665 |
| Melinda C Hart | Nurse Practitioner | Physician Groups Lc | 108 Market St, Glasgow, MO 65254-1053 |
| Street Address |
965 MATTOX DR |
| City | SULLIVAN |
| State | MO |
| Zip | 63080-2365 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary J Bjornstad | Nurse Practitioner | Missouri Baptist Hospital of Sullivan | 965 Mattox Dr, Sullivan, MO 63080-2365 |
| Tiffany J Voss | Nurse Practitioner | Missouri Baptist Hospital of Sullivan | 965 Mattox Dr, Sullivan, MO 63080-2365 |
| Jennifer Fernando Barbin | Internal Medicine | Missouri Baptist Hospital of Sullivan | 965 Mattox Dr, Sullivan, MO 63080-2365 |
| Kayla E Dawson | Nurse Practitioner | Missouri Baptist Hospital of Sullivan | 965 Mattox Dr, Sullivan, MO 63080-2365 |
| Gregg Jonathan Berdy | Ophthalmology | Berdy and Malhotra PC | 965 Mattox Dr, Sullivan, MO 63080-2365 |
| Ranjan Prakash Malhotra | Ophthalmology | Berdy and Malhotra PC | 965 Mattox Dr, Sullivan, MO 63080-2365 |
| Keith A Turlington | Podiatry | 965 Mattox Dr, Sullivan, MO 63080-2365 | |
| Robert C Brusatti | Optometry | Berdy and Malhotra PC | 965 Mattox Dr, Sullivan, MO 63080-2365 |
| Sarah M Mckee | Nurse Practitioner | Missouri Baptist Hospital of Sullivan | 965 Mattox Dr, Sullivan, MO 63080-2365 |
| Malti B Dave | Anesthesiology | 965 Mattox Dr, Sullivan, MO 63080-2365 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katie Iliff | Occupational Therapy | 103 Grande Ctr, Sullivan, MO 63080-1266 | |
| Lindsay Arnette | Physical Therapy | Therapy Lifetime Consultants, LLC | 103 Grande Ctr, Sullivan, MO 63080-1266 |
| Meghan Joyce Berti | Speech Language Pathologist | Therapy Lifetime Consultants, LLC | 103 Grande Ctr, Sullivan, MO 63080-1266 |
| Mary E Hulsey | Occupational Therapy | Therapy Lifetime Consultants, LLC | 103 Grande Ctr, Sullivan, MO 63080-1266 |
| David P Prange | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Joseph Aemilius Stroetker | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Jason T Riley | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Kyle Sherwood | Optometry | Stroetker Prange Riley Optometrists PC | 280 E Springfield Rd, Sullivan, MO 63080-1364 |
| Adeel I Khan | Pulmonary Disease | Mercy Clinic Pulmonology Washington LLC | 1326 S Service Rd W, Suite 20, Sullivan, MO 63080-2306 |
| Felipe A Eljaiek | Internal Medicine | Mercy Clinic East Communities | 1326 S Service W Rd, Suite 20, Sullivan, MO 63080-2306 |
| Find all physicians in zip 63080 | |||
| City | SULLIVAN |
| Zip Code | 63080 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SULLIVAN + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Jason Ross Rudman.
| 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.