Kenneth A Rutledge, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

26641 Issued in GA

Practice address

55 Whitcher St NE Ste 250
Marietta, GA 30060-1169

Phone

(770) 428-4475

NPI assigned

Nov 1, 2006

Last updated

Oct 28, 2010By the provider in NPPES

Sex

Male

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

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Urology Enterprises, PC

  dba Urology Associates, PC

  • Urology Physician
  • Marietta, GA
  • NPI 1740367457
  NPD

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1447337274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601169",
            "telephone_number": "770-428-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WHITCHER ST NE STE 250",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601169",
            "telephone_number": "770-428-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTLEDGE",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "26641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chloe Lan Russo, MD
• Diane Kay Russo, D.C.
• Joann Russo, CRNA
• Roberta Russo, CSW008127
• Ruth's Place Community Home
• Sherri M. Rutledge, CRNA
• Paul Ryan, LPC
• Lisa Neff Rydarowski
• Brooke Rys, RD, LD
• S D Moore and Associates

• Urology Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• Urology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.