RUDY TOM MEDINA MD NPI 1083610513

NPI Information

NPI: 1083610513
Provider Name: RUDY TOM MEDINA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual
Address:
100 MEDICAL HEIGHTS DR
MORGANTON, NC
ZIP 28655
Phone: (828) 433-4484
Get Directions

Rudy Tom Medina, MD is a pediatrics in Morganton, NC. The provider is 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. Rudy Tom Medina, MD NPI is 1083610513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

100 MEDICAL HEIGHTS DR
MORGANTON, NC
ZIP 28655-197
Phone: (828) 433-4484
Fax: (828) 433-4487

The enumeration date for this NPI number is 6/21/2005 and was last updated on 4/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		9700106	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	F15881	MEDICARE UPIN	NORTH CAROLINA
2	891019H	MEDICAID	NORTH CAROLINA
3	73943	OTHER	NORTH CAROLINA	MEDCOST
4	4455597	OTHER	NORTH CAROLINA	AETNA
5	1019H	OTHER	NORTH CAROLINA	BCBS OF NC
6	12 41243	OTHER	NORTH CAROLINA	UNITED HEALTHCARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »