JAMES R. RUDD SR., M.D., LLC
NPI 1114223898
Clinic/Center - Medical Specialty in Deridder, LA

Active since January 28, 2011
206 W 5TH ST, DERIDDER, LA 70634(337) 463-5582(337) 460-1348 Get Directions Write a Review

NPPES record last updated: January 28, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James R. Rudd Sr., M.d., Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES R. RUDD SR., M.D., LLC (NPI 1114223898) is a healthcare organization registered as a medical specialty in Deridder, Louisiana and active in the NPI registry since January 2011. The organization lists James R. Rudd, Physician, as its authorized official.

NPPES Registry Identity

NPI1114223898
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameJAMES R. RUDD SR., M.D., LLC
Location Address206 W 5TH STDeridder, LA 70634-4856
Mailing Address206 W 5th StDeridder, LA 70634-4856 · (337) 463-5582 · Fax (337) 460-1348
Fax(337) 460-1348
Organization SubpartNo
Authorized OfficialJames R. RuddPhysician · (337) 463-5582
Enumeration DateJanuary 28, 2011
NPI 1114223898 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in LA · 15081
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

206 W 5TH ST, Deridder, LA 70634

Other Identifiers 2

Medicaid1329754LA
Medicare UPIN55733LA

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Obstetrics & Gynecology
206 W 5TH ST
DERIDDER, LA 70634
Obstetrics & Gynecology
206 W 5TH ST
DERIDDER, LA 70634
Specialist
206 W 5TH ST
DERIDDER, LA 70634
Clinic/Center (Medical Specialty)
206 W 5TH ST
DERIDDER, LA 70634
Nurse Practitioner (Family)
206 W 5TH ST
DERIDDER, LA 70634
Nurse Practitioner (Family)
206 W 5TH ST
DERIDDER, LA 70634
Specialist
206 W 5TH ST
DERIDDER, LA 70634
Nurse Practitioner (Family)
206 W 5TH ST
DERIDDER, LA 70634

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114223898, enumerated as an "organization" on January 28, 2011.

The provider is located at 206 W 5TH ST DERIDDER, LA 70634 and the phone number is (337) 463-5582.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.