Active NPI
James Robert Rudd Jr., M.D.
- Obstetrics & Gynecology Physician
- Deridder, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD.201473
- Practice address
- 206 W 5TH St
Deridder, LA 70634-4856 - Phone
- (337) 463-5582
- Fax
- (337) 460-1348
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD.201473 | LA | Primary |
Addresses
Primary practice location
206 W 5TH St
Deridder, LA 70634-4856
Mailing address
206 W 5TH St
Deridder, LA 70634-4856
Phone (337) 463-5582
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Louisiana State University School of Medicine in Shreveport, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
206 W 5TH St
Deridder, LA 70634-4856
Phone (337) 462-7160
600 S Pine St
Deridder, LA 70634-4942
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.201473 | LA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Service District No 2 of Parish of Beauregard State of la | Current | Accepting new patients | |
| West Louisiana Health Services Inc | Obstetrics & Gynecology | Current | Accepting new patients |
| Beauregard Women'S Health Center, LLC | Obstetrics & Gynecology | Current | Accepting new patients |
| Hospital Service District No 2 of Parish of Beauregard State of la | Past | Accepting new patients |
Locations
501 S Pine St
Deridder, LA 70634
Phone (337) 462-3937
206 W 5th St
Deridder, LA 70634
Phone (337) 462-7106
600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100
Interoperability endpoints
- james.ruddjr@beauregard.medalliesdirect.net
Organizations & group practices 4
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.
-
- Obstetrics & Gynecology Physician
- Deridder, LA
- NPI 1801196498
-
- Obstetrics & Gynecology Physician
- Deridder, LA
- NPI 1164985495
-
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
-
- Rural Health Clinic/Center
- Deridder, LA
- NPI 1578938452
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Deridder, LA
- NPI 1831193499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188950400000",
"number": "1922218429",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 W 5TH ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344856",
"telephone_number": "337-463-5582",
"fax_number": "337-460-1348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 W 5TH ST",
"city": "DERIDDER",
"state": "LA",
"postal_code": "706344856",
"telephone_number": "337-463-5582",
"fax_number": "337-460-1348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUDD",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "LA",
"license": "MD.201473",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Deridder, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.