HealthDirectory.us

Clare Elizabeth Rudolph

• Female

Medical Specialty

• Obstetrics gynecology

Professional ID

• NPI: 1902117732
• PECOS ID: 6800025958
• Enrollment ID: I20140711001645
• Credential(MD, DO, DPM):
• Medical School: Saint Louis University School Of Medicine
• Medical School Graduation Year: 2010

Hospital Service

• Hospital CCN1: 050352
• Business Name (LBN)1: Barton Memorial Hospital

Medical Practices

• Organization Name: Tahoe Carson Valley Medical Group Inc
• Group Practice ID assigned by PECOS: 8426048158
• Number of Group Practice member: 46

Location

• Address1: 2175 S Ave
• Address2:
• City: South Lake Tahoe
• State: California
• Zip Code: 96150
• Phone Number: (530)543-5685

Medicare

• Medicare Assignment: Yes
• Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
• Used Electronic health record (EHR):