Maj-Stina L Rudolph, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

42402 Issued in CO

Practice address

700 Potomac St
3Rd Floor
Aurora, CO 80011-6844

Phone

(303) 360-3260

Fax

(303) 360-3388

NPI assigned

Oct 12, 2005

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333670400000",
    "number": "1821086992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-360-3260",
            "fax_number": "303-360-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 POTOMAC ST",
            "address_2": "3RD FLOOR",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800116844",
            "telephone_number": "303-360-3260",
            "fax_number": "303-360-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDOLPH",
        "first_name": "MAJ-STINA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-12",
        "last_updated": "2012-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "42402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78107733",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Mari Ruddy, AUD/ CCC-A
• Craig Rudikoff
• Neil Rudis, RN
• Betty Rudisaile, NP
• Eleanor Rudoff
• Samantha Rudy
• Rue Unlimited LLC (Rill Unique Enterprises)
• Nicole Rose Rueb, MD
• Rafael Ruelas, CAC I
• Christine Rufener, PH.D.

• Psychiatry Physician in Aurora, CO
• Providers in Aurora, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2012; 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.