KEITH RUEDE P.A.-C NPI 1316958622

NPI Information

NPI: 1316958622
Provider Name: KEITH RUEDE, P.A.-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
1315 HOSPITAL DR
ST JOHNSBURY, VT
ZIP 05819
Phone: (802) 748-8141
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Keith Ruede, P.A.-C is a surgical physician assistant in St Johnsbury, VT. Keith Ruede, P.A.-C NPI is 1316958622. 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:

1315 HOSPITAL DR
ST JOHNSBURY, VT
ZIP 05819-210
Phone: (802) 748-8141

The enumeration date for this NPI number is 8/11/2006 and was last updated on 1/11/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	055-0030218	VERMONT	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	3075397	MEDICAID	NEW HAMPSHIRE
2	9000273	MEDICAID	VERMONT
3	AP0538	MEDICARE PIN	VERMONT

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: 5/5/2024

NPI Synchronization or Removal

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