MARK W. RUDEMILLER M.D. NPI 1609821255

NPI Information

  • NPI: 1609821255
  • Provider Name: MARK W. RUDEMILLER, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • Address: 6350 GLENWAY AVE
    205
    CINCINNATI, OH
    ZIP 45211
  • Phone: (513) 481-0900

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NPI Details

Mark W. Rudemiller, M.D. is a family medicine in Cincinnati, OH. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mark W. Rudemiller, M.D. NPI is 1609821255. 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:

6350 GLENWAY AVE
205
CINCINNATI, OH
ZIP 45211-378
Phone: (513) 481-0900
Fax: (513) 481-0904

The enumeration date for this NPI number is 5/23/2006 and was last updated on 11/15/2011.

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
1207Q00000XFamily Medicine35047292OHIOYes

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 Other Provider Identifier Issuer
10569915MEDICAIDOHIO
2P00454770MEDICARE PINOHIO
3RU0543463MEDICARE ID-TYPE UNSPECIFIEDOHIO
415621MEDICARE UPINOHIO
5RU0543466MEDICARE PINOHIO
60543468MEDICARE PINOHIO
7RU0823348MEDICARE PINOHIO

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: 11/21/2025

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