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LADD DOUGLAS RUTHERFORD JR. PA-C
NPI 1235809005
Physician Assistant - Medical in Shelton, WA

Active since September 14, 2021PECOS EnrolledAccepts Medicare Assignment
1701 N 13TH ST, SHELTON, WA 98584(360) 426-2653(888) 985-0168 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 16, 2023, Jan 14, 2023, Nov 9, 2022 and 1 more (4 updates tracked since 2021).

About Ladd Douglas Rutherford Jr. Pa-c NPPES

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

LADD DOUGLAS RUTHERFORD JR. PA-C (NPI 1235809005) is an individual medical provider in Shelton, Washington and active in the NPI registry since September 2021. He is enrolled in Medicare PECOS, is affiliated with Mason General Hospital & Family Of Clinics, and is a graduate of University Of Washington School Of Medicine (2022).

NPPES Registry Identity

NPI1235809005
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameLADD DOUGLAS RUTHERFORD JR.Credential: PA-C
Location Address1701 N 13TH STShelton, WA 98584-2077
Mailing Address1701 N 13th StShelton, WA 98584-2077
Phone(360) 426-2653
Fax(888) 985-0168
Sole ProprietorNo
Medical School CMSUniversity Of Washington School Of MedicineGraduated 2022
Enumeration DateSeptember 14, 2021
Last NPPES UpdateJanuary 16, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
✔ NPI 1235809005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
1701 N 13TH ST, Shelton, WA 98584
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ladd Douglas Rutherford Jr. Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8820465552
PECOS Enrollment IDI20221109000547
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mason General Hospital & Family Of Clinics

Critical Access Hospitals · Shelton, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501336
Location901 Mt View DriveShelton, WA 98584 · Mason County
Emergency services

Other Providers at the Same Location NPPES 20

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

KATIE ALDRICH PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-1611
DARREN CUEVAS D.O
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
PUBLIC HOSPITAL DISTRICT NO 1 OF MASON COUNTY
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
DR. HUI N/A ZHAO MD, PHD
Ophthalmology
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 427-9549
VANESSA LAUREL CRAY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
DR. TREVOR SHANE KWAN D.O.
Family Medicine
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
DR. NIKKI ANN REYES MEDINA DO
Obstetrics & Gynecology
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653
MR. JAMES STAUFFER PA-C
Physician Assistant
1701 N 13TH ST
SHELTON, WA 98584
Mason County (360) 426-2653

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ladd Rutherford's NPI number?

The NPI number for Ladd Rutherford is 1235809005. It was assigned to this individual provider in the NPPES registry on September 14, 2021.

Where is Ladd Rutherford located?

Ladd Rutherford practices at 1701 N 13th St, Shelton, WA 98584. The listed phone number is (360) 426-2653.

What is Ladd Rutherford's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Ladd Rutherford enrolled in Medicare?

Yes. Ladd Rutherford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ladd Rutherford accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Ladd Rutherford as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ladd Rutherford affiliated with any hospitals?

According to CMS data, Ladd Rutherford is affiliated with Mason General Hospital & Family Of Clinics.

When was this NPI record last updated?

The NPPES record for Ladd Rutherford was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.