Gregory David Rudolf

Primary specialty

Addiction Medicine (Family Medicine) PhysicianTaxonomy code 207QA0401X

License

MD00041809 Issued in WA

Legal business name

GREGORY DAVID RUDOLF

Doing business as

Gregory David Rudolf, MD PS

Practice address

1101 Madison St
Ste 200
Seattle, WA 98104-1306

Phone

(206) 386-2013

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Gregory David Rudolf, MD

Title

Physician

Phone

(206) 386-2013

Specialties & licenses 1

Addresses

Other names 1

• Gregory David Rudolf, MD PS Doing business as

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1518079664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94546",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981246846",
            "telephone_number": "206-320-4476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 MADISON ST",
            "address_2": "STE 200",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981041306",
            "telephone_number": "206-386-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY DAVID RUDOLF",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "RUDOLF",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "206-386-2013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "WA",
            "license": "MD00041809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gregory David Rudolf, MD PS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle S Gregg
• Timberly Gregorious
• Tina M Gregorius, MA
• Gregory a Demopulos MD, PLLC
• Gregory D. Stewart (Stewart Surgical Assistant Services)
• Nancy Gregory-Hoefling, ARNP
• Heather Gregory-Opliger, MA
• Amanda Whitney Gregory, PT
• Catherine T Gregory
• Heather Gregory, PA

• Addiction Medicine (Family Medicine) Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Addiction Medicine (Family Medicine) Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.