NPIMap

Individual provider Active NPI

Lorraine Rudder, MD

  • Physical Medicine & Rehabilitation Physician
  • Red Oak, TX
National Provider Identifier
1639229545
Registry record updated Oct 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J4489 Issued in TX
Practice address
307 E Ovilla Rd
Suite 600
Red Oak, TX 75154-3898
Phone
(972) 576-2920
Fax
(972) 617-3930
NPI assigned
Jan 11, 2007
Last updated
Oct 9, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X J4489 TX
Physical Medicine & Rehabilitation Physician 208100000X J4489 TX Primary

Addresses

Primary practice location

307 E Ovilla Rd
Suite 600
Red Oak, TX 75154-3898

Mailing address

6119 Greenville Ave # 433
Dallas, TX 75206-1910
Phone (972) 576-2920

Other names 1

  • Dr. Lorraine Rudder Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
LMR Pain & Lifestyle Management PLLC Past Accepting new patients
Rehab First Specialist Past Accepting new patients
University of North Texas Health Science Center at Fort Worth Past Accepting new patients
North Texas Electrodiagnostics and Rehabilitation PA Physical Medicine & Rehabilitation PastSince Jan 1, 2005 Accepting new patients
Heritage Network Physician Past Accepting new patients
Orthopedic Institute of Texas Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381276800000",
    "number": "1639229545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6119 GREENVILLE AVE # 433",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752061910",
            "telephone_number": "972-576-2920",
            "fax_number": "972-617-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E OVILLA RD",
            "address_2": "SUITE 600",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751543898",
            "telephone_number": "972-576-2920",
            "fax_number": "972-617-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDER",
        "first_name": "LORRAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2013-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "J4489",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J4489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORRAINE",
            "last_name": "RUDDER",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Red Oak, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2013; 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.