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JOSEPH RUDOLPH M.D.
NPI 1376561464
Pediatrics in Fenton, MO

Active since July 17, 2006
1011 BOWLES AVE, SUITE 300, FENTON, MO 63026(314) 496-5000(314) 496-5015 Get Directions Write a Review

NPPES record last updated: September 2, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Joseph Rudolph M.d. NPPES

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

JOSEPH RUDOLPH M.D. (NPI 1376561464) is an individual pediatrics provider in Fenton, Missouri, licensed in Missouri (MOR4E01) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1376561464
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOSEPH RUDOLPHCredential: M.D.
Location Address1011 BOWLES AVE, SUITE 300Fenton, MO 63026-2395
Mailing Address10777 Sunset Office Dr, Suite 310Saint Louis, MO 63127-1019 · (314) 822-5900 · Fax (314) 822-5919
Phone(314) 496-5000
Fax(314) 496-5015
Sole ProprietorNo
Enumeration DateJuly 17, 2006
Last NPPES UpdateSeptember 2, 2009
✔ NPI 1376561464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MO · MOR4E01
Definition
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.
1011 BOWLES AVE, Fenton, MO 63026
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Other Identifiers 1

Medicaid202083069MO

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.

DR. LAWRENCE VINCENT BOVERI MD
Obstetrics & Gynecology
1011 BOWLES AVE, SUITE 215
FENTON, MO 63026
St. Louis County (636) 680-1960
CENTER FOR ADVANCED FOOT & ANKLE SURGERY, INC.
Durable Medical Equipment & Medical Supplies
1011 BOWLES AVE, SUITE 123
FENTON, MO 63026
St. Louis County (314) 991-3668
MS. LITA LAPINS FNP
Nurse Practitioner (Family)
1011 BOWLES AVE, SUITE 300
FENTON, MO 63026
St. Louis County (314) 238-9100
SSM MEDICAL GROUP
Internal Medicine
1011 BOWLES AVE, SUITE 300
FENTON, MO 63026
St. Louis County (636) 496-5000
ALLISON KATE BROWN FNP
Nurse Practitioner (Family)
1011 BOWLES AVE
FENTON, MO 63026
St. Louis County (314) 200-2713
MS. DENISE P BLACKBURN APRN, FNP-BC
Nurse Practitioner (Family)
1011 BOWLES AVE, SUITE G10
FENTON, MO 63026
St. Louis County (314) 965-9980
LAWRENCE G EVANS MD LLC
Orthopaedic Surgery
1011 BOWLES AVE, SUITE 400
FENTON, MO 63026
St. Louis County (314) 821-4884
MRS. TIFFANY SHANTA HAROLD APRN
Nurse Practitioner (Women's Health)
1011 BOWLES AVE
FENTON, MO 63026
St. Louis County (636) 496-5438

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 Joseph Rudolph's NPI number?

The NPI number for Joseph Rudolph is 1376561464. It was assigned to this individual provider in the NPPES registry on July 17, 2006.

Where is Joseph Rudolph located?

Joseph Rudolph practices at 1011 Bowles Ave Suite 300, Fenton, MO 63026. The listed phone number is (314) 496-5000.

What is Joseph Rudolph's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Joseph Rudolph was last updated on September 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.