Donald Henry Rudick, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD056864L Issued in PA

Practice address

761 Johnsonburg Rd
Suite 350
St Marys, PA 15857-3483

Phone

(814) 781-8669

Fax

(814) 781-8671

NPI assigned

May 9, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205885944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 JOHNSONBURG RD",
            "address_2": "SUITE 350",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573483",
            "telephone_number": "814-781-8669",
            "fax_number": "814-781-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 JOHNSONBURG RD",
            "address_2": "SUITE 350",
            "city": "ST MARYS",
            "state": "PA",
            "postal_code": "158573483",
            "telephone_number": "814-781-8669",
            "fax_number": "814-781-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDICK",
        "first_name": "DONALD",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD056864L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0019212650001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK PROVIDER NUMBER",
            "identifier": "1444738",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shawna Rae Ritter, PT
• Adair Rohr, RN
• Rolley Family Chiropractic, P.C.
• Ronald J Rolley Jr., DC
• Alan John Roth, O.D.
• Lynnette M Rupprecht, P.T.
• Saint Marys Area SD
• Joe A Salinas, M.D.
• Chelsea Samick
• David Gregory Sanderson, D.P.M.

• Specialist in St Marys, PA
• Providers in St Marys, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.