John a. Rudis, MD,PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

H2745 Issued in TX

Legal business name

JOHN A. RUDIS, MD,PA

Practice address

206 Gene Samford Dr
Suite a
Lufkin, TX 75904-3358

Phone

(936) 637-7667

Fax

(936) 637-2363

NPI assigned

May 27, 2011

Organization subpart

No

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

Authorized official

Name

Dr. John Rudis, MD

Title

Medical Doctor

Phone

(936) 637-6502

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1306454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306454400000",
    "number": "1619260387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 GENE SAMFORD DR",
            "address_2": "SUITE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043358",
            "telephone_number": "936-637-7667",
            "fax_number": "936-637-2363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 GENE SAMFORD DR",
            "address_2": "SUITE A",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759043358",
            "telephone_number": "936-637-7667",
            "fax_number": "936-637-2363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. RUDIS, MD,PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-27",
        "last_updated": "2011-05-27",
        "status": "A",
        "authorized_official_last_name": "RUDIS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "936-637-6502",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "H2745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120513003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00B42U",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Timothy Jewell, LPC, LCDC
• Vanessa Jacqueline Jimenez, ATC, LAT, CES
• Dae Hyun Jin, RPH
• Corley Jobe, CCC, SLP
• Sydney Kayla Jobe, LCSW
• Johnson & Johnson Investments, LLC
• Johnson and Johnson Investments of Onalaska, LLC
• Brandi Johnson, FNP-C
• Hailey Lorayne Johnson, RN, BSN, FNP-C
• Jacquelyn Suell Johnson

• Family Medicine Physician in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; 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.