Rudolph Scott Runnels Jr., MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

13960 Issued in MS

Practice address

1055 River Oaks Drive
Flowood, MS 39232-9595

Phone

(601) 939-9778

Fax

(601) 939-9416

NPI assigned

Jan 17, 2007

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive Surgery

Education

University of Mississippi School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

RS Runnels Jr MD PLLCGroup PAC ID 5799730941, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ochsner Scott Regional Hospital, Morton, MS, CCN 251323

Procedures performed for Medicare patients

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.

• RS Runnels Jr. M.D. PLLC

  dba The Runnels Clinic

  • Plastic Surgery Physician
  • Flowood, MS
  • NPI 1346424298
  Medicare reassignment Care Compare group NPD
• Runnels Plastic Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Flowood, MS
  • NPI 1275780660
  NPD (past) Authorized official
• Plastic & Hand Surgery Associates PLLC

  • Plastic Surgery Physician
  • Flowood, MS
  • NPI 1932126695
  NPD (past)
• The Clinic of Plastic Surgery, P.a.

  • Plastic Surgery Physician
  • Jackson, MS
  • NPI 1083798029
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Scott Regional Medical Center, Inc.

  dba Ochsner Scott Regional

  • Critical Access Hospital
  • Morton, MS
  • NPI 1134278435
  Care Compare affiliation

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639221179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 RIVER OAKS DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329595",
            "telephone_number": "601-939-9778",
            "fax_number": "601-939-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 RIVER OAKS DRIVE",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392329595",
            "telephone_number": "601-939-9778",
            "fax_number": "601-939-9416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNELS",
        "first_name": "RUDOLPH",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MS",
            "license": "13960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00115139",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Lynn Maurer Rowell, FNP-C
• RS Runnels Jr. M.D. PLLC (The Runnels Clinic)
• Douglas G Rummells Jr., DMD
• Runnels Plastic Surgery Center LLC
• John Matthew Runnels, MD
• Johnnie T Rush
• Rushing Family Dentistry PA
• Carla S Rushing, D.M.D.
• John Rushing, M.D.
• Marcelo J Ruvinsky, MD

• Plastic Surgery Physician in Flowood, MS
• Providers in Flowood, MS by specialty
• Plastic Surgery Physician in Mississippi

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.