DEANNA N. RUDDELL MD – NPI #1083606156
Allergy & Immunology

A physician who specializes in the diagnosis, treatment, and management of allergies.

DEANNA RUDDELL is an allergy & immunologist located in LITTLE ROCK, AR. NPPES has assigned the NPI number 1083606156 to DEANNA RUDDELL on August 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207KA0200X from the Health Care Provider Taxonomy code set, which is classified as Allergy & Immunology, specializing in Allergy

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEANNA RUDDELL below.

NPI Profile for
DEANNA N. RUDDELL

NPI Number
1083606156
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
DEANNA N. RUDDELL
Credentials
MD
Primary location
16101 CANTRELL RD STE 104
LITTLE ROCK, AR 72223-4578
Phone: (501) 425-0322 Fax:
1 Other location(s):
11601 Cantrell Rd
Little Rock, AR 72223
Phone: (501) 425-0322
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for DEANNA RUDDELL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDAR129401001
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207KA0200X
- Allergy & Immunology / Allergy (Primary)
AR N8430

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Order Durable Medical Equipment
  • Order Power Mobility Devices

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.