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DR. W SHELBY RUTLEDGE M.D.
NPI 1780637066
Family Medicine in Ash Fork, AZ

Active since May 18, 2006
112 PARK AVENUE, ASH FORK, AZ 86320(928) 637-2305(928) 637-2343 Get Directions Write a Review

NPPES record last updated: October 22, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. W Shelby Rutledge M.d. NPPES

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

DR. W SHELBY RUTLEDGE M.D. (NPI 1780637066) is an individual family medicine provider in Ash Fork, Arizona, licensed in Arizona (19436) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1780637066
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. W SHELBY RUTLEDGECredential: M.D.
Location Address112 PARK AVENUEAsh Fork, AZ 86320-5300
Mailing AddressPo Box 3630, North Country Health CareFlagstaff, AZ 86003-3630 · (928) 213-6121 · Fax (928) 774-6687
Phone(928) 637-2305
Fax(928) 637-2343
Sole ProprietorNo
Enumeration DateMay 18, 2006
Last NPPES UpdateOctober 22, 2013
✔ NPI 1780637066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 19436
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
112 PARK AVENUE, Ash Fork, AZ 86320
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Other Names 1

Other Name (5)Dr. Wallace Shelby Rutledge Md

Other Identifiers 4

Medicare PINZ121961
Medicare UPINF29304AZ
Medicare PINZ122073
Medicaid109290AZ

Other Providers at the Same Location NPPES

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

NORTH COUNTRY HEALTHCARE, INC.
Clinic/Center (Multi-Specialty)
112 PARK AVENUE
ASHFORK, AZ 86320
Yavapai County (928) 637-2305

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 W Rutledge's NPI number?

The NPI number for W Rutledge is 1780637066. It was assigned to this individual provider in the NPPES registry on May 18, 2006. The provider is also known as Dr. Wallace Shelby Rutledge MD.

Where is W Rutledge located?

W Rutledge practices at 112 Park Avenue, Ash Fork, AZ 86320. The listed phone number is (928) 637-2305.

What is W Rutledge's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for W Rutledge was last updated on October 22, 2013. 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.