Carla Alicia Rudd, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA056444 Issued in PA

Practice address

1202 S Cedar Crest Blvd
Suite 500
Allentown, PA 18103-6202

Phone

(610) 770-2200

Fax

(610) 433-7622

NPI assigned

Oct 23, 2013

Sex

Female

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 PA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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 and National Provider Directory roles.

• Geisinger Clinic

  • Family Medicine Physician
  • Danville, PA
  • NPI 1366493868
  Medicare reassignment
• Gslpg, Inc

  • Specialist
  • Orwigsburg, PA
  • NPI 1366006702
  Medicare reassignment
• St. Luke'S Physician Group, Inc.

  • Family Medicine Physician
  • Bethlehem, PA
  • NPI 1700984622
  Medicare reassignment
• St. Luke'S Warren Physician Group, PC

  • Hematology & Oncology Physician
  • Phillipsburg, NJ
  • NPI 1467725184
  Medicare reassignment
• Geisinger Clinic

  • Surgery Physician
  • Danville, PA
  • NPI 1255382784
  NPD
• Geisinger Clinic

  • Diagnostic Radiology Physician
  • Danville, PA
  • NPI 1558313023
  NPD
• St Luke'S Physician Group Inc

  • Family Medicine Physician
  • Orwigsburg, PA
  • NPI 1710845144
  NPD
• St. Luke'S Physician Group, Inc

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Fountain Hill, PA
  • NPI 1780124453
  NPD
• St. Luke'S Warren Physician Group, PC

  • Hematology (Pathology) Physician
  • Phillipsburg, NJ
  • NPI 1467898049
  NPD
• St. Luke'S Warren Physician Group, PC

  • Ophthalmology Physician
  • Phillipsburg, NJ
  • NPI 1568347201
  NPD
• Lehigh Valley Cardio Diagnostics PC

  • Cardiovascular Disease Physician
  • Allentown, PA
  • NPI 1386738326
  NPD (past)
• St. Luke'S Physician Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Fountain Hill, PA
  • NPI 1003867623
  NPD (past)

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389744000000",
    "number": "1720416183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1202 S CEDAR CREST BLVD",
            "address_2": "SUITE 500",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "610-770-2200",
            "fax_number": "610-433-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 S CEDAR CREST BLVD",
            "address_2": "SUITE 500",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "610-770-2200",
            "fax_number": "610-433-7622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDD",
        "first_name": "CARLA",
        "middle_name": "ALICIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2014-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA056444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "MA056444",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer M Rozanski, DO
• Diana Rozenberg, M.D.
• Tonya Rubin, PA-C
• Joshua Dylan Rubinstein, DO
• Jignesh Rudani, DMD MSPH
• Amy J Rudisill, MHS
• Sergio Rudoi Jr., P.A.-C.
• Jordyn Rudy, PA-C
• Kourtney Rudzinski, D.O.
• Miguel Ruelas-Salgado, MD

• Medical Physician Assistant in Allentown, PA
• Providers in Allentown, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.