Jackson M Rhudy, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

156694-1205 Issued in UT

Practice address

24 S 1100 E Ste 205
Salt Lake City, UT 84102-1580

Phone

(801) 363-7353

Fax

(801) 363-7574

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295930253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 S 1100 E STE 102",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021565",
            "telephone_number": "801-363-7353",
            "fax_number": "801-363-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 S 1100 E STE 205",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021580",
            "telephone_number": "801-363-7353",
            "fax_number": "801-363-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHUDY",
        "first_name": "JACKSON",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "UT",
            "license": "156694-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayvin Rhodes, CSW
• Reid Rhodes
• Mark Allen Rholl, MD
• Steven M Rhondeau, MD
• Kaley M Rhoton
• Tiara Riahi
• Patricia Riano
• Awais Riaz, MD
• Kiran Riaz
• Matthew Paul Riccardi

• Emergency Medicine Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Emergency Medicine Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.