Zella Rudd

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

ZELLA RUDD

Doing business as

Terry's Medical Specialties

Practice address

710B N Marion St
Kirksville, MO 63501-2970

Phone

(660) 665-6429

Fax

(660) 665-6429

NPI assigned

Jan 31, 2007

Last updated

Jul 31, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Zella Rudd

Title

Owner Fitter

Phone

(660) 665-6429

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Terry's Medical Specialties Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1053458877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710B N MARION ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012970",
            "telephone_number": "660-665-6429",
            "fax_number": "660-665-6429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710B N MARION ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635012970",
            "telephone_number": "660-665-6429",
            "fax_number": "660-665-6429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZELLA RUDD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "RUDD",
        "authorized_official_first_name": "ZELLA",
        "authorized_official_title_or_position": "OWNER FITTER",
        "authorized_official_telephone_number": "660-665-6429"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "623927605",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terry's Medical Specialties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dominick Jay Wright
• John Xie, MD
• Young Image Optical
• Kinzey Young
• Mason R Zaccardi
• Charles Michael Zeman, D.O.
• Tina Marie Zeman, MA, CCC-SLP
• Kristi Zentz, LPN
• Charles Zhang
• Angelynn Rose Zimmerman, ORT/L

• Customized Equipment (DME) in Kirksville, MO
• Providers in Kirksville, MO by specialty
• Customized Equipment (DME) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.