Maria F Rueda MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD38619 Issued in TN

Legal business name

MARIA F RUEDA MD PLLC

Practice address

11546 Chapman Hwy
Seymour, TN 37865-5044

Phone

(865) 573-5252

Fax

(865) 286-1169

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca A Conner

Title

Ar Administrator

Phone

(865) 584-5727

Specialties & licenses 1

Addresses

Other names 1

• Rueda Dermatology Clinic Other name

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407862238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 BAUM DR",
            "address_2": "SUITE ONE",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379197344",
            "telephone_number": "865-584-5727",
            "fax_number": "865-450-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11546 CHAPMAN HWY",
            "city": "SEYMOUR",
            "state": "TN",
            "postal_code": "378655044",
            "telephone_number": "865-573-5252",
            "fax_number": "865-286-1169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA F RUEDA MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "AR ADMINISTRATOR",
        "authorized_official_telephone_number": "865-584-5727",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TN",
            "license": "MD38619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rueda Dermatology Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Allison Paige Love, MA
• Brittany Lucas, FNP-BC
• Marcus Monroe Maddox, PHARMD
• Taylor Nicole Manis, PHARMD
• Elizabeth Ann Manning, MS, CCC-SLP
• John Arthur Masengill, DDS
• Jessika Leeann Mashburn, BA
• Deneen Lashea Matheson, MS, CCC-SLP
• Kelsey Ann May, NP
• Jeremy David McAmis

• Specialist in Seymour, TN
• Providers in Seymour, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.