Charles S. Rutherford
Orthopaedic Surgeon Orthopaedic Hand Surgeon Orthopaedic Trauma Surgeon Adult Reconstructive Orthopaedic Surgeon
7777 Forest Ln Ste. C-300g
Dallas
, Texas 75230-2571
Charles S. Rutherford
Orthopaedic Surgeon Orthopaedic Hand Surgeon Orthopaedic Trauma Surgeon Adult Reconstructive Orthopaedic Surgeon
7777 Forest Ln Ste. C-300g
Dallas
, Texas 75230-2571
(972) 566-3556
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Hand Surgeon
- Adult Reconstructive Orthopaedic Surgeon
- Orthopaedic Trauma Surgeon
Languages spoken
- English
Location
First Address
- Charles S. Rutherford
- 7777 Forest Ln Ste. C-300g
- Dallas, TX
- Zip : 75230-2571
- Fax : (972) 566-3556
- Phone : (972) 566-5564
Second Address
- Charles S. Rutherford
- 7777 Forest Ln Ste. C-300g
- Dallas, TX
- Zip : 75230-2571
- Fax : (972) 566-3556
- Phone : (972) 566-5564
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgeon | F7125 | TX |
| N | 207XS0106X | Orthopaedic Hand Surgeon | F7125 | TX |
| N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | F7125 | TX |
| N | 207XX0801X | Orthopaedic Trauma Surgeon | F7125 | TX |
National Provider Identifier
| NPI | 1285625327 |
|---|---|
| Provider Name | Charles S. Rutherford |
| First Address | Dallas, TX 75230-2571 |
| Second Address | Dallas, TX 75230-2571 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/10/2005 |
| Last Update Date | 16/10/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 123776005 | (05) | TX |
| 8A5013 | BCBS (01) | TX |
| B26069 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.