Organization Active NPI

Nate Ruden MD LLC

  • Family Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1366733040
Registry record updated Feb 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
73767701205 Issued in UT
Legal business name
NATE RUDEN MD LLC
Practice address
224 B Street
Salt Lake City, UT 84103-2509
Phone
(801) 448-2094
Fax
(801) 657-4662
NPI assigned
Apr 28, 2011
Last updated
Feb 15, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2012

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

Authorized official

Name
Nate M Ruden, MD
Title
Owner/MD
Phone
(801) 448-2094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 73767701205 UT Primary

Addresses

Primary practice location

224 B Street
Salt Lake City, UT 84103-2509

Mailing address

224 B Street
Salt Lake City, UT 84103-2509
Phone (801) 448-2094

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1303948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329264000000",
    "number": "1366733040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 B STREET",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032509",
            "telephone_number": "801-448-2094",
            "fax_number": "801-657-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 B STREET",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841032509",
            "telephone_number": "801-448-2094",
            "fax_number": "801-657-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATE RUDEN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-28",
        "last_updated": "2012-02-15",
        "status": "A",
        "authorized_official_last_name": "RUDEN",
        "authorized_official_first_name": "NATE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/MD",
        "authorized_official_telephone_number": "801-448-2094",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "73767701205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2012; 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.