SUSAN K. MOORE RUCKER MD – NPI #1104967306
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

SUSAN MOORE RUCKER is a physician located in ATHENS, TN. NPPES has assigned the NPI number 1104967306 to SUSAN MOORE RUCKER on February 09, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. 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 SUSAN MOORE RUCKER below.

NPI Profile for
SUSAN K. MOORE RUCKER

NPI Number
1104967306
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
SUSAN K. MOORE RUCKER
Credentials
MD
Primary location
500 DECATUR PIKE
ATHENS, TN 37303-2514
Phone: (423) 745-2500 Fax: (423) 745-2571
Mailing address
PO BOX 294
ATHENS, TN 37371-0294
Phone: (423) 745-2500 Fax: (423) 745-2571
Sole Proprietor
No
Updated
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
208000000X
- Pediatrics (Primary)
TN MD28936

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.