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JOHN PAUL RUTLEDGE M.D. NPI 1124129549


NPI Information

NPI: 1124129549
Provider Name: JOHN PAUL RUTLEDGE, M.D.
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

PECOS Registration: Yes

Address:
10420 OLD OLIVE STREET ROAD
SUITE 202
ST. LOUIS, MO
ZIP 63141
Phone: (314) 991-9700
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John Paul Rutledge, M.D. is a psychiatry psychiatry neurology in St. Louis, MO with 55 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. John Paul Rutledge, M.D. NPI is 1124129549. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1969

The provider's business location address is:

10420 OLD OLIVE STREET ROAD
SUITE 202
ST. LOUIS, MO
ZIP 63141
Phone: (314) 991-9700
Fax: (314) 991-7779

The NPI 1124129549 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 45 minutes (HCPCS:90836)
  • Psychotherapy, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 9/26/2006 and was last updated on 9/29/2008.


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
12084P0800XPsychiatry & NeurologyPsychiatry32159MISSOURIYes

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
135941OTHERCMR
2A10906MEDICARE UPIN
3000003881MEDICARE ID-TYPE UNSPECIFIEDMISSOURI
4000003881MEDICARE PIN
595266OTHERFIRST HEALTH
60388770000OTHERMAGELLAN
7281085OTHERVALUEOPTIONS
812086OTHERBLUE CROSS BLUE SHIELD MO
9108930OTHERHEALTHLINK NON PAR
10A10906OTHERMERCY HEALTH PLANS
11260014843OTHERMEDICARE RAILROAD
12200543403MEDICAIDMISSOURI
131500116OTHERUNITED HEALTH CARE UNITED

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

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.