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RAYMOND RUDOLPH MD NPI 1295836617


NPI Information

NPI: 1295836617
Provider Name: RAYMOND RUDOLPH, MD
Classification: Surgery - 208600000X
Entity Type: Individual

PECOS Registration: Yes

Address:
4700 WATERS AVE
SUITE 405
SAVANNAH, GA
ZIP 31404
Phone: (912) 350-2700
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Raymond Rudolph, MD is a surgery in Savannah, GA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. Raymond Rudolph, MD NPI is 1295836617. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4700 WATERS AVE
SUITE 405
SAVANNAH, GA
ZIP 31404-220
Phone: (912) 350-2700
Fax: (912) 350-2715

The NPI 1295836617 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 4/26/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery21641SOUTH CAROLINANo
2208600000XSurgery30205GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1000453043BMEDICAIDGEORGIA
2E762177416MEDICARE PINSOUTH CAROLINA
3G30205MEDICAIDSOUTH CAROLINA
4P00955071OTHERGEORGIARAILROAD MEDICARE
5202I029756MEDICARE PINGEORGIA
6020050906OTHERSOUTH CAROLINARAILROAD MEDICARE
7AA66439141MEDICARE PINSOUTH CAROLINA
8000453043MMEDICAIDGEORGIA
9P00955061OTHERSOUTH CAROLINARAILROAD MEDICARE
10000453043EMEDICAIDGEORGIA
11000453043IMEDICAIDGEORGIA
12000453043JMEDICAIDGEORGIA
13000453043LMEDICAIDGEORGIA
14349825OTHERGEORGIAWELLCARE
15000453043DMEDICAIDGEORGIA
16020047969OTHERGEORGIARAILROAD MEDICARE
17E76217MEDICARE UPIN
18SC00757416MEDICARE PINSOUTH CAROLINA
1902BBCNTMEDICARE PINGEORGIA
2010065386OTHERGEORGIAAMERIGROUP
21000453043GMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.