Look up the most recent NPI and PECOS records

Martha Ruder

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

1940 Harrison Ave, Panama City, FL 32405-4542

PECOS Enrollment

Based on the most recent information from CMS, provider Martha Ruder is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1770950552
Provider Type
Individual
Full Name
Ruder, Martha
Credential
FNP-DNP

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/27/2015
Last Updated
8/27/2015

Contact Information

Practice Location

1940 Harrison Ave, Panama City, FL 32405-4542

(850) 763-0017

(800) 543-2919

Mailing Location

100 Rue Esplanade, Lynn Haven, FL 32444-1541

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 1628382 Florida

Provider Identifiers

ID	Description	Issuer
ID F0914753	Description Other	Issuer AANP

Martha Ruder

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Brown, Heather Richelle

Gray, Lindsay May

Tafunai, Evie-Noel

Jernigan, Sheryl A.

Stringer, Pamela C

Sumner, Marsha Lynn

Sauls, Lauren Olivia

Smith, Katie L

Four Pillars Healthcare Pllc

Mcloughlin, Lisa Patrice