Jennifer Mary Rutledge, MD

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

33511 Issued in AZ

Practice address

4327 E Lupine Ave
Phoenix, AZ 85028-2230

Phone

(602) 241-7322

Fax

(602) 462-5933

NPI assigned

Jun 30, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Obstetrix Medical Group of Phoenix PC

  • Pediatric Cardiology Physician
  • Phoenix, AZ
  • NPI 1346269594

  Pediatric Cardiology

  NPD (past)
• Obstetrix Medical Group of Phoenix PC

  • Neonatal-Perinatal Medicine Physician
  • Mesa, AZ
  • NPI 1407957152
  NPD (past)

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336178607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4327 E LUPINE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850282230",
            "telephone_number": "602-241-7322",
            "fax_number": "602-462-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4327 E LUPINE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850282230",
            "telephone_number": "602-241-7322",
            "fax_number": "602-462-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "JENNIFER",
        "middle_name": "MARY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "AZ",
            "license": "33511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Kemper Ruth, M.D.
• Tammy Shirley Ruth, MD, MED
• Rutherford Pmhnp-BC PLLC
• Luana Louise Rutherford, PMHNP
• Franklin Allen Rutledge II, MD
• R.B. Rutledge, CLINICAL THERAPIST
• Linda Ruvalcaba, LPC
• Tamyra L Ruzicka, M.S., CCC-SLP
• Leandre U Rwasine, PMHNP
• RWW Outpatient Rehab Services, LLC

• All providers in Phoenix, AZ
• Pediatric Cardiology Physician in Arizona

• 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.