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KENNETH SAMUEL RUDMAN M.D. NPI 1558322214


NPI Information

NPI: 1558322214
Provider Name: KENNETH SAMUEL RUDMAN, M.D.
Classification: Pain Medicine - 208VP0014X
Entity Type: Individual

Specialization: Interventional Pain Medicine

Address:
1540 LAKE LANSING RD
SUITE G06
LANSING, MI
ZIP 48912
Phone: (517) 482-7246
Get Directions

Kenneth Samuel Rudman, M.D. is an interventional pain medicine pain medicine in Lansing, MI. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. Kenneth Samuel Rudman, M.D. NPI is 1558322214. 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:

1540 LAKE LANSING RD
SUITE G06
LANSING, MI
ZIP 48912-756
Phone: (517) 482-7246
Fax: (517) 484-7377

The enumeration date for this NPI number is 3/31/2006 and was last updated on 4/17/2009.


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
1207L00000XAnesthesiology4301049943MICHIGANNo
2207LP2900XAnesthesiologyPain Medicine4301049943MICHIGANNo
3208VP0000XPain MedicinePain Medicine4301049943MICHIGANNo
4208VP0014XPain MedicineInterventional Pain Medicine4301049943MICHIGANYes

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
12919118MEDICAIDMICHIGAN
2OC36404004MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMPMS MCR
3OC36144001MEDICARE ID-TYPE UNSPECIFIEDMICHIGANLAA MCR
41984819MEDICAIDMICHIGAN
5A76882MEDICARE UPINMICHIGAN

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.