NPI
Shawn A Rudkin
NPI 1063587194
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DC CCEP
- Type
- Individual
- Enumeration date
- 2006-11-22
- Last updated
- 2008-05-13
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Specialties
Licenses
- License ID
- CHIA857
Location
- Practice location
- 101 E Grove Avenue
- City
- Parma ID
- Postal code
- 83660-0154
- Phone
- (208) 722-9999
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Parma, ID. 19 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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