JOHN MICHAEL RUTLEDGE PA-C NPI 1003403353

NPI Information

NPI: 1003403353
Provider Name: JOHN MICHAEL RUTLEDGE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
417 STATE STREET
WEBBER WEST SUITE 340
BANGOR, ME
ZIP 04401
Phone: (207) 973-4949
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John Michael Rutledge, PA-C is a surgical physician assistant in Bangor, ME with 3 years of experience. John Michael Rutledge, PA-C NPI is 1003403353. 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:

417 STATE STREET
WEBBER WEST SUITE 340
BANGOR, ME
ZIP 04401
Phone: (207) 973-4949
Fax: (207) 973-4466

The NPI 1003403353 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 12/21/2020 and was last updated on 11/8/2021.

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	PA2259	MAINE	Yes

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

NPI Synchronization or Removal

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