George M Rutan DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

36001740 Issued in OH

Legal business name

GEORGE M RUTAN DPM

Practice address

3663 Ridge Mill Dr
Suite 104
Hilliard, OH 43026-7799

Phone

(614) 529-7800

Fax

(513) 529-7802

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Gwen Penhorwood

Title

Office Manager

Phone

(614) 529-7800

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363046400000",
    "number": "1306863147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3663 RIDGE MILL DR",
            "address_2": "SUITE 104",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267799",
            "telephone_number": "614-529-7800",
            "fax_number": "513-529-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 RIDGE MILL DR",
            "address_2": "SUITE 104",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430267799",
            "telephone_number": "614-529-7800",
            "fax_number": "513-529-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE M RUTAN DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2013-03-12",
        "status": "A",
        "authorized_official_last_name": "PENHORWOOD",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "614-529-7800"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001740",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2861541",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD GROUP NUMBER",
            "identifier": "DD8097",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Podiatrist in Hilliard, OH
• Providers in Hilliard, OH by specialty
• Podiatrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; 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.