Joseph Rudolph, MD - Pediatrics in Fenton, MO

Joseph Rudolph, MD is a Pediatrics physician based in Fenton, Missouri. Joseph Rudolph is licensed to practice in Missouri (license number MOR4E01) and his current practice location is 1011 Bowles Ave, Suite 300, Fenton, Missouri. He can be reached at his office (for appointments etc.) via phone at (314) 496-5000.

NPI number for Joseph Rudolph is 1376561464 and his current mailing address is 10777 Sunset Office Dr, Suite 310, Saint Louis, Missouri. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1376561464.

Contact Information

Joseph Rudolph, MD
1011 Bowles Ave, Suite 300,
Fenton, MO 63026-2395
(314) 496-5000
(314) 496-5015



Physician's Profile

Full NameJoseph Rudolph
GenderMale
SpecialityPediatrics
Location1011 Bowles Ave, Fenton, Missouri
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1376561464
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 09/02/2009

Medical Identifiers

Medical identifiers for Joseph Rudolph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376561464NPI-NPPES
202083069MedicaidMO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MOR4E01 (Missouri)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Joseph Rudolph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Joseph Rudolph, MD
10777 Sunset Office Dr, Suite 310,
Saint Louis, MO 63127-1019

Ph: (314) 822-5900
Joseph Rudolph, MD
1011 Bowles Ave, Suite 300,
Fenton, MO 63026-2395

Ph: (314) 496-5000

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Pediatrics Doctors in Fenton, MO

Lori Hugg, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1345 Smizer Mill Rd, Fenton, MO 63026
Phone: 636-496-5021    
Dr. Lauren Elizabeth Jones, DO
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 714 Gravois Rd, Ste 200, Fenton, MO 63026
Phone: 636-345-5437    Fax: 636-349-6663
Dr. Sue E Jagler, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 714 Gravois Rd, Ste 200, Fenton, MO 63026
Phone: 636-349-5437    Fax: 636-349-6663
Dr. Andrew L Karanas, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 10 Bowles Ave, Fenton, MO 63026
Phone: 636-496-2502    
Dr. Stephen E. Thierauf, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1203 Smizer Mill Rd, Ste 108, Fenton, MO 63026
Phone: 636-717-1340    Fax: 636-717-1344
Dr. Isabel Fernandez-holtzman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 714 Gravois Rd, Ste 200, Fenton, MO 63026
Phone: 636-349-5437    Fax: 636-349-6663

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