Dr. Kim Ann Rutherford
M.D. | Pediatric Emergency Medicine | Female
Dr. Kim Ann Rutherford, M.D. is a Mineola, New York based Pediatric doctor with medical specialization in
Pediatric Emergency Medicine.
Current practice location of Dr. Kim Ann Rutherford is
259 1st St, Mineola, New York - 11501-3957. She can be contacted on phone at
717-531-8955.
Dr. Kim Ann Rutherford is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Kim Ann Rutherford is
1013102649 which was assigned by NPPES on 06 Sep, 2007 and it was last updated on 30 Mar, 2021.
Dr. Kim Ann Rutherford license number is
MD417166 for Pediatrics Pediatric Emergency Medicine (2080P0204X) in Pennsylvania.
Dr. Kim Ann Rutherford has special qualifications to manage emergencies in infants and children.
Complete Profile:
Dr. Kim Ann Rutherford basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Emergency Medicine |
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| Provider Name : | Dr. Kim Ann Rutherford |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Kim Ann Rutherford address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 259 1st St
Mineola, NY, 11501-3957
United States |
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| Phone Number : | 717-531-8955 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1013102649 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 06 Sep, 2007 |
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| Last Updated On : | 30 Mar, 2021 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Kim Ann Rutherford are as mentioned. Primary taxonomy code for Dr. Kim Ann Rutherford, M.D. is
2080P0204X (Pediatrics Pediatric Emergency Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 37476 | AZ |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | No | 37476 | AZ |
| 2080P0204X | Pediatrics Pediatric Emergency Medicine | Yes | MD417166 | PA |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Kim Ann Rutherford such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 001868391 | MEDICAID | PA | |
| 169184 | Other | PA | MEDICARE |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
1400 S DOBSON RD,
MESA, AZ, 85202-4707
United States | MESA, AZ | 480-456-9500 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | krutherford295000@nyumc.direct-ci.com
| No affiliation |
|
| 259 1ST ST,
MINEOLA, NY, 11501-3957
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 259 1st St
Mineola, NY, 11501-3957
United States |
|---|
Business Location:
Patients can refer following map for directions to
Dr. Kim Ann Rutherford practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.