Merritt C Rudolph MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

16397 Issued in CA

Legal business name

MERRITT C RUDOLPH MD PC

Practice address

850 E Harvard Ave
Ste 405
Denver, CO 80210-5073

Phone

(303) 722-4683

Fax

(303) 778-0726

NPI assigned

Oct 21, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Liesbeth Osa, RN

Title

Office Manager

Phone

(303) 722-4683

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Merritt C Rudolph, MD PC

  • Specialist
  • Denver, CO
  • NPI 1033171483
  NPD (past)

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224547200000",
    "number": "1669624649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "STE 405",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-722-4683",
            "fax_number": "303-778-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E HARVARD AVE",
            "address_2": "STE 405",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802105073",
            "telephone_number": "303-722-4683",
            "fax_number": "303-778-0726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERRITT C RUDOLPH MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A",
        "authorized_official_last_name": "OSA",
        "authorized_official_first_name": "LIESBETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "303-722-4683",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "16397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04010153",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Tracy Merrell, M.D.,PH.D.
• Thomas Alton Merrick, MD
• Martha E Merrill-Hall, CNM
• Jesse Merrill
• Susan Kay Merrill, RN
• Ashley Merritt, PSYD
• Michele A Merritt, M.D.
• Thomas J Merry, PA-C
• Akos Mersich, MD
• Ryan Christopher Merson, PA-C

• Specialist in Denver, CO
• Providers in Denver, CO by specialty
• Specialist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.