Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861477085 Individual Practitioner Male Practitioner

Dr. Daniel Gerrit Rudolph , MD

Pediatrics • Festus, MO

Professional Overview & Biography Verified Profile Summary

Dr. Daniel Rudolph, MD is a registered healthcare professional specializing in Pediatrics in Festus, MO. Practice services are available at 35 GOODWIN DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

35 Goodwin Dr

Festus, MO 630284122

Telephone 6369334141
Fax 6369317007
Associated Practice Facility / Clinic
🏢 Ccpartners Llc Facility NPI 1487857033

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Festus, MO

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 4.0 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
9 Specialists

Practicing in Festus, MO (1616 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-09-21
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MO 105323

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
203936901 (MO)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Blair Theis

Nurse Practitioner - Pediatrics

NPI 1013568120
NPI 1013992189

Doctor of Medicine (M.D.)

Louise Jadwisiak , RN, CPNP

Nurse Practitioner - Pediatrics

NPI 1104215086

Registered Nurse, Certified Pediatric Nurse Practitioner

Sean Rudolph

Specialist/Technologist - Athletic Trainer

NPI 1114478120
Erin Donovan , RNCPNP

Nurse Practitioner - Pediatrics

NPI 1457336166
Morgan Korder , RNCPNP

Nurse Practitioner - Pediatrics

NPI 1467327114

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 07, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location February 07, 2014

Registered at 35 GOODWIN DR, FESTUS, MO 630284122 (Tel: 6369334141)

📍
Updated Business Mailing Address February 07, 2014

Registered at 35 GOODWIN DRIVE, FESTUS, MO 630284100 (Tel: 6369334141)

👤
Provider Name / Credentials Updated February 07, 2014

Recorded as DANIEL RUDOLPH, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 07, 2014

Pediatrics (License #105323 in MO)

🟢
Initial NPI Registration & Enumeration December 09, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1861477085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2005
Last Update: September 21, 2023
Sole Proprietor: No

Mailing Address

35 Goodwin Drive

Festus, MO 630284100

Phone: 6369334141

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.