Daniel Edward Rutterer, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

22317 Issued in KY

Practice address

8726 US Hwy 42
Florence, KY 41042-9642

Phone

(859) 647-2900

Fax

(859) 647-0140

NPI assigned

Mar 21, 2006

Sex

Male

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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1952360695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635283",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635283",
            "telephone_number": "859-655-4111",
            "fax_number": "859-655-4815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8726 US HWY 42",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "410429642",
            "telephone_number": "859-647-2900",
            "fax_number": "859-647-0140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTTERER",
        "first_name": "DANIEL",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "22317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2178825",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64223175",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey B Rubinstein, MD
• Tara Elizabeth Rueter
• Consuela Ruffin
• Jennifer M Russell, OTR/L
• Ruth V Hussey DO LLC
• Ryan Pomeroy Incorperated
• Alyson Rochelle Ryan, M.D.
• Julia Marie Ryan, LPCA
• Monirul Islam Sajib, MD
• Courtney Nicole Salmon, RBT

• Family Medicine Physician in Florence, KY
• Providers in Florence, KY by specialty
• Family Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; 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.