George H Rudwell, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

01020508 Issued in IN

Practice address

1405 Spring St
Jeffersonville, IN 47130-3736

Phone

(812) 283-0728

Fax

(812) 283-0792

NPI assigned

Jul 7, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

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.

• ENT Care Centers PLLC

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1093381485
  NPD (past)
• Kentuckiana Ear, Nose & Throat PSC

  • Otolaryngology Physician
  • Louisville, KY
  • NPI 1194771592
  NPD (past)

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259798400000",
    "number": "1346247129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 DUTCHMANS PKWY",
            "address_2": "380",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402053372",
            "telephone_number": "502-894-8441",
            "fax_number": "812-283-0792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 SPRING ST",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471303736",
            "telephone_number": "812-283-0728",
            "fax_number": "812-283-0792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDWELL",
        "first_name": "GEORGE",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2009-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01020508",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "KY",
            "license": "15818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040012437",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM FACET NUMBER",
            "identifier": "000000045442",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100047300A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64158181",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Macy L Ross, CSFA
• Carla J Roth, CADC, CADAC IV, LCAC
• Carson Roush
• Dreiona Rox
• Heather Rozack, LCSW
• Danielle Nicole Ruffin
• Brianna Rugg
• Melissa Runyan, LCSW
• Lisa Michelle Rusher, LCSW
• Kayla Rushing, NP

• Otolaryngology Physician in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Otolaryngology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2009; 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.