Active NPI
Steven Edward Rutledge, BOCPO
- Prosthetist
- Enid, OK
National Provider Identifier
1326575630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- 96
- Practice address
- 330 S 5TH St Ste 102
Enid, OK 73701-5860 - Phone
- (580) 237-7654
- Fax
- (580) 237-2211
- NPI assigned
- May 17, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 96 | OK | |
| Prosthetist | 224P00000X | 96 | OK | Primary |
Addresses
Primary practice location
330 S 5TH St Ste 102
Enid, OK 73701-5860
Mailing address
330 S 5TH St Ste 102
Enid, OK 73701-5860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96 | OK | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494979200000",
"number": "1326575630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 S 5TH ST STE 102",
"city": "ENID",
"state": "OK",
"postal_code": "737015860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 S 5TH ST STE 102",
"city": "ENID",
"state": "OK",
"postal_code": "737015860",
"telephone_number": "580-237-7654",
"fax_number": "580-237-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTLEDGE",
"first_name": "STEVEN",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "BOCPO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-17",
"last_updated": "2017-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "OK",
"license": "96",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "OK",
"license": "96",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enid, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.