RANDAL H. RUDDERMAN MD INC – NPI #1609175421
Surgery

A surgeon who specializes in plastic and reconstructive surgery.

Health Care Provider Taxonomy Code for Surgery

RANDAL H. RUDDERMAN MD INC is a surgeon located in ALPHARETTA, GA. NPPES has assigned the NPI number 1609175421 to RANDAL H. RUDDERMAN MD INC on March 18, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2086S0122X from the Health Care Provider Taxonomy code set, which is classified as Surgery, specializing in Plastic and Reconstructive Surgery

The NPI profile was previously updated about 11 years ago on Jun 22, 2015. 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 RANDAL H. RUDDERMAN MD INC below.

NPI Profile for
RANDAL H. RUDDERMAN MD INC

NPI Number
1609175421
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
RANDAL H. RUDDERMAN MD INC
Primary location
3400-C OLD MILTON PKWY, STE 450
ALPHARETTA, GA 30005-3707
Phone: (678) 566-7200 Fax: (678) 566-7210
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RANDAL RUDDERMAN
PRESIDENT
Phone: (678) 566-7200
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
2086S0122X
- Surgery / Plastic and Reconstructive Surgery (Primary)		 GA 024863

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.