RS Runnels Jr. M.D. PLLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

13960 Issued in MS

Legal business name

RS RUNNELS JR. M.D. PLLC

Doing business as

The Runnels Clinic

Practice address

1055 River Oaks Dr
Flowood, MS 39232-9595

Phone

(601) 939-9778

Fax

(601) 939-9416

NPI assigned

Dec 27, 2007

Last updated

Jul 7, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Rudolph Scott Runnels, Jr., M.D.

Title

Owner

Phone

(601) 939-9778

Specialties & licenses 1

Addresses

Other names 1

• The Runnels Clinic Doing business as

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Darden North, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Flowood, MS
  • NPI 1891087417
  Medicare reassignment Care Compare group NPD
• Rudolph Scott Runnels Jr., MD

  • Plastic Surgery Physician
  • Flowood, MS
  • NPI 1639221179
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215388800000",
    "number": "1346424298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIVER OAKS DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329595",
            "telephone_number": "601-939-9778",
            "fax_number": "601-939-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIVER OAKS DR",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329595",
            "telephone_number": "601-939-9778",
            "fax_number": "601-939-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RS RUNNELS JR. M.D. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2008-07-07",
        "status": "A",
        "authorized_official_last_name": "RUNNELS, JR.",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-939-9778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "13960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Runnels Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly B. Rooks, LCSW
• Daniel J Ross, MD
• Rhonda Muree Roush, LPC
• Sadie Alexis Roush, RBT
• Heather Lynn Maurer Rowell, FNP-C
• Douglas G Rummells Jr., DMD
• Runnels Plastic Surgery Center LLC
• John Matthew Runnels, MD
• Rudolph Scott Runnels Jr., MD
• Rush Nem Transportation Solutions

• Plastic Surgery Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Plastic Surgery Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.