Clyde Escall Rutherford, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

E4651 Issued in TX

Practice address

614 Furman Ave
Corpus Christi, TX 78404-2325

Phone

(361) 882-9278

Fax

(361) 882-9279

NPI assigned

Jun 23, 2006

Last updated

Jul 8, 2007By 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

State licenses

Practice roles

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.

• Dialysis Access Center, LLP

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1114953783
  NPD (past)

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518993336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60041",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784660041",
            "telephone_number": "361-882-9278",
            "fax_number": "361-882-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 FURMAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042325",
            "telephone_number": "361-882-9278",
            "fax_number": "361-882-9279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHERFORD",
        "first_name": "CLYDE",
        "middle_name": "ESCALL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "E4651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Angeline Rushing
• Russell Medical Inc
• David D Russell, ATP, CRTS
• John Andrew Russell, D.O.
• Rebecca Ann Russell, MT
• John A Rutkowski, M.D.
• Lauren Elizabeth Rutter, D.O.
• RVLV Medical Services PLLC
• Rebecca Ryan
• Abigail Rylands

• Specialist in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.