John Stephen Rudderow, | |
3 Riverside Cir, Roanoke, VA 24016 | |
(972) 978-8758 | |
Not Available |
Full Name | John Stephen Rudderow |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 12 Years |
Location | 3 Riverside Cir, Roanoke, Virginia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043576267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 0102205193 (Virginia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Carilion Medical Center | Roanoke, VA | Hospital |
Carilion Franklin Memorial Hospital | Rocky mount, VA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carilion Medical Center | 9830096585 | 773 |
Entity Name | Carilion Healthcare Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447206370 PECOS PAC ID: 5890607253 Enrollment ID: O20031106000273 |
Entity Name | Carilion Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730123472 PECOS PAC ID: 9830096585 Enrollment ID: O20040107000472 |
Entity Name | Carilion Giles Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194718304 PECOS PAC ID: 3678670221 Enrollment ID: O20070516000487 |
Mailing Address | Practice Location Address |
---|---|
John Stephen Rudderow, 319 N Gladstone Blvd, Kansas City, MO 64123-1208 Ph: (972) 978-8758 | John Stephen Rudderow, 3 Riverside Cir, Roanoke, VA 24016 Ph: (972) 978-8758 |
Kirshan K Tayal, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7544 | |
Dr. Guy Katz, MD Surgery Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Mark Edward Hamill, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1906 Belleview Ave Se, Roanoke, VA 24014 Phone: 540-981-7434 Fax: 540-981-8681 | |
Heather Lynn Geist, MD Surgery Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Roxanne Davenport, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Riverside Circle, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 | |
Jessica Grace Wright, Surgery Medicare: Medicare Enrolled Practice Location: 3 Riverside Cir, Roanoke, VA 24016 Phone: 540-224-5170 Fax: 540-983-8212 |