MR. STEPHEN CHARLES RUDDEK PA-C
NPI 1558506014
Physician Assistant - Surgical in Johnstown, PA

Active since December 11, 2008PECOS EnrolledAccepts Medicare Assignment
1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9407 Get Directions Write a Review

NPPES record last updated: June 5, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Stephen Charles Ruddek Pa-c NPPES

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

MR. STEPHEN CHARLES RUDDEK PA-C (NPI 1558506014) is an individual surgical provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MA002725L) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1558506014
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. STEPHEN CHARLES RUDDEKCredential: PA-C
Location Address1086 FRANKLIN STJohnstown, PA 15905-4305
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8300 · Fax (814) 410-8331
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 11, 2008
Last NPPES UpdateJune 5, 2014
✔ NPI 1558506014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA002725L
1086 FRANKLIN ST, Johnstown, PA 15905

Other Identifiers 1

Medicare PIN260884PA

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

Mr. Stephen Charles Ruddek 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 ID1557411006
PECOS Enrollment IDI20090604000293
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.

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

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.

General Acute Care Hospital (Children)
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Surgery
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Family Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Nurse Anesthetist, Certified Registered
1086 FRANKLIN ST
JOHNSTOWN, PA 15905

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 Stephen Ruddek's NPI number?

The NPI number for Stephen Ruddek is 1558506014. It was assigned to this individual provider in the NPPES registry on December 11, 2008.

Where is Stephen Ruddek located?

Stephen Ruddek practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9407.

What is Stephen Ruddek's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Stephen Ruddek enrolled in Medicare?

Yes. Stephen Ruddek 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.

Is Stephen Ruddek affiliated with any hospitals?

According to CMS data, Stephen Ruddek is affiliated with Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Stephen Ruddek was last updated on June 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.