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DR. DENNIS RUDDEROW M.D.
NPI 1679662175
Internal Medicine in Saint Louis, MO

Active since October 12, 2006
915 N GRAND BLVD, SAINT LOUIS, MO 63106(314) 642-4100 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Dennis Rudderow M.d. NPPES

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

DR. DENNIS RUDDEROW M.D. (NPI 1679662175) is an individual internal medicine provider in Saint Louis, Missouri, licensed in Missouri (2003017052) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1679662175
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DENNIS RUDDEROWCredential: M.D.
Location Address915 N GRAND BLVDSaint Louis, MO 63106-1621
Mailing Address116 Willow Brook DrSaint Louis, MO 63146-5681
Phone(314) 642-4100
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1679662175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MO · 2003017052
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
915 N GRAND BLVD, Saint Louis, MO 63106
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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. MATTHEW CHRISTOPHER SIMPSON O.D.
Optometrist
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. CHARMIN MEYATTA GIBSON M.S.W.
Social Worker
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4110
CONOR MCCARTNEY M.D.
Internal Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
ALITA BILLOPS CNP
Nurse Practitioner (Primary Care)
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
STEPHANIE ADAMS
Registered Nurse
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 289-7676
NAGLA ABDELMALEK M.D.
Emergency Medicine
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
DR. JAMES MICHAEL HASIK DDS
Dentist (General Practice)
915 N GRAND BLVD, DENTAL CLINIC
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100
MS. TRACY LANES CRNA
Nurse Anesthetist, Certified Registered
915 N GRAND BLVD
SAINT LOUIS, MO 63106
St. Louis City (314) 652-4100

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 Dennis Rudderow's NPI number?

The NPI number for Dennis Rudderow is 1679662175. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Dennis Rudderow located?

Dennis Rudderow practices at 915 N Grand Blvd, Saint Louis, MO 63106. The listed phone number is (314) 642-4100.

What is Dennis Rudderow's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Dennis Rudderow was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.