DR. KIM ANN RUTHERFORD M.D. NPI 1013102649

NPI Information

  • NPI: 1013102649
  • Provider Name: DR. KIM ANN RUTHERFORD, M.D.
  • Classification: Pediatrics - 2080P0204X
  • Specialization: Pediatric Emergency Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 259 1ST ST
    MINEOLA, NY
    ZIP 11501
  • Phone: (717) 531-8955

Map and Directions

Get Directions

NPI Details

DR. Kim Ann Rutherford, M.D. is a pediatric emergency medicine pediatrics in Mineola, NY. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. DR. Kim Ann Rutherford, M.D. NPI is 1013102649. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

259 1ST ST
MINEOLA, NY
ZIP 11501-957
Phone: (717) 531-8955

The NPI 1013102649 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 enumeration date for this NPI number is 9/6/2007 and was last updated on 3/30/2021.

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
1208000000XPediatrics37476ARIZONANo
22080P0204XPediatricsPediatric Emergency MedicineMD417166PENNSYLVANIAYes
32080P0204XPediatricsPediatric Emergency Medicine37476ARIZONANo

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
1001868391MEDICAIDPENNSYLVANIA
2169184OTHERPENNSYLVANIAMEDICARE

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: 3/30/2025

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