Deanna N. Ruddell, MD

Primary specialty

Allergy PhysicianTaxonomy code 207KA0200X

License

N8430 Issued in AR

Practice address

16101 Cantrell Rd Ste 104
Little Rock, AR 72223-4578

Phone

(501) 425-0322

NPI assigned

Aug 16, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hot Springs Interventional Pain Management PA

  • Interventional Pain Medicine Physician
  • Hot Springs, AR
  • NPI 1376733824
  NPD

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1083606156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16101 CANTRELL RD STE 104",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234578",
            "telephone_number": "501-425-0322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16101 CANTRELL RD STE 104",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722234578",
            "telephone_number": "501-425-0322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11601 Cantrell Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "72223",
            "country_code": "US",
            "telephone_number": "501-425-0322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUDDELL",
        "first_name": "DEANNA",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AR",
            "license": "N8430",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129401001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bethany Jo Ruby, DO
• Jbess Ruby, DC
• Destiny Rucker
• Lauren Annette Rucker, AGPCNP-BC, AGACNP-BC
• Nicholas Dewayne Rucker
• Mary Katherine Rude, MD
• Richard Harold Rudley
• Stacy Rudnicki, MD
• Deborah A Rudolph, MA,CCC-SLP
• Martha Lucia Rueda, MD

• Allergy Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Allergy Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.