Terra D Rudd in Chestertown - Physician Assistant
Terra D Rudd - NPI 1205041241
Terra D Rudd is a Physician Assistant in Chestertown, Maryland. Terra D Rudd practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Terra D Rudd is 1205041241. The last update date is 2013-08-21.
Terra D Rudd's current location address is 100 Brown St, Chestertown, Maryland. You can contact this provider via phone number 4107787668 and fax number 4108107186. The mailing address for Terra D Rudd is 100 Brown St, Chestertown, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Terra D Rudd |
|---|---|
| Address | 100 Brown St, Chestertown, Maryland |
| Phone Number | 4107787668 |
| Fax Number | 4108107186 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1205041241 |
|---|---|
| Provider Enumeration Date | 2007-05-12 |
| Last Updated Date | 2013-08-21 |
Provider Mailing Address Detail
| Address | 100 Brown St |
|---|---|
| City | Chestertown |
| State | Maryland (MD) |
| Post Code | 216201435 |
| Phone Number | 4107787668 |
| Fax Number | 4108107186 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 649 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 649 | SD | LICENSE | |
| 0010-01645 | NC | STATE MEDICAL LICENSE | |
| C0005108 | MD | PHYSICIAN ASSISTANT STATE LICE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Terra D Rudd by the Centers for Medicare & Medicaid Services?
The Terra D Rudd has been assigned the NPI (National Provider Identifier) 1205041241 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Terra D Rudd?
The Terra D Rudd is physically situated at 100 Brown St, in the city of Chestertown, state of MD, with the postal code 216201435.
What is Terra D Rudd's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Terra D Rudd is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1205041241 to Terra D Rudd?
The Centers for Medicare & Medicaid Services assigned the 1205041241 to Terra D Rudd on 2007-05-12.
When was the information regarding Terra D Rudd most recently updated?
The details pertaining to the Terra D Rudd, including its address, specialty, and other relevant information, were last refreshed on 2013-08-21.
NPI Number: 1720081763
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