Rudolph J Moreira MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

35035368 Issued in OH

Legal business name

RUDOLPH J MOREIRA MD INC

Practice address

9403 Kenwood Rd
Suite B200
Cincinnati, OH 45242-6895

Phone

(513) 281-1252

Fax

(513) 281-1161

NPI assigned

Aug 14, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rudolph J Moreira, M.D.

Title

President of Corporation

Phone

(513) 281-1252

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187049600000",
    "number": "1982896999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD",
            "address_2": "SUITE B200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426895",
            "telephone_number": "513-281-1252",
            "fax_number": "513-281-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9403 KENWOOD RD",
            "address_2": "SUITE B200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452426895",
            "telephone_number": "513-281-1252",
            "fax_number": "513-281-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUDOLPH J MOREIRA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-14",
        "last_updated": "2007-08-14",
        "status": "A",
        "authorized_official_last_name": "MOREIRA",
        "authorized_official_first_name": "RUDOLPH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT OF CORPORATION",
        "authorized_official_telephone_number": "513-281-1252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35035368",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35035368",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5391302",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Rudich, MD
• Lacey M. Rudick
• Steven Gregg Rudick
• Jessica Rudie
• Emily Puetz Rudloff, M.D.
• Carolyn Rudolph
• Ebony Rudolph, LPN
• Gail F Rudolph, CNS
• Lisa Lynn Rudolph
• Lisa Marie Rudolph, D.M.D.

• Surgery Physician in Cincinnati, OH
• Providers in Cincinnati, OH by specialty
• Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.