Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD436237 | PA |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | MD436237 | PA |
NPI | 1073588745 |
---|---|
Provider Name | Craig Richard Ruder |
First Address | York, PA 17403-3026 |
Second Address | York, PA 17403-5060 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 19/04/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
037256100 | (05) | MD |
102372886 | (05) | PA |
1585618 | GATEWAY-WMG (01) | PA |
20096582 | AMERIHEALTH MERCY-WMG (01) | PA |
281442 | UNISON-WMG (01) | PA |
956426 | CAREFIRST MD BCBS (01) | MD |