DANIEL GERRIT RUDOLPH MD
NPI 1861477085
Pediatrics in Festus, MO

Q: What is Daniel Rudolph's NPI number?

The NPI number for Daniel Rudolph is 1861477085. It was assigned to this individual provider in the NPPES registry on December 9, 2005.

Q: What is Daniel Rudolph's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Rudolph was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since December 09, 2005

35 GOODWIN DR, FESTUS, MO 63028(636) 933-4141(636) 931-7007 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Daniel Gerrit Rudolph Md NPPES

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

DANIEL GERRIT RUDOLPH MD (NPI 1861477085) is an individual pediatrics provider in Festus, Missouri, licensed in Missouri (105323) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1861477085

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDANIEL GERRIT RUDOLPHCredential: MD

Location Address35 GOODWIN DRFestus, MO 63028-4122

Mailing Address35 Goodwin DriveFestus, MO 63028-4100 · (636) 933-4141 · Fax (636) 931-7007

Phone(636) 933-4141

Fax(636) 931-7007

Sole ProprietorNo

Enumeration DateDecember 9, 2005

Last NPPES UpdateSeptember 21, 2023

NPPES CertifiedSeptember 21, 2023

✔ NPI 1861477085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MO · 105323

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.

35 GOODWIN DR, Festus, MO 63028

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Other Identifiers 1

Medicaid203936901MO

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.Insurance ›

Other Providers at the Same Location NPPES 8

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

BLAIR A THEIS

Nurse Practitioner (Pediatrics)