| Rudolph Carlo King, MD | |
|
642 W Hospital Rd, Paoli, IN 47454-9672 | |
| (812) 723-7450 | |
| (812) 723-7508 |
| Full Name | Rudolph Carlo King |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 642 W Hospital Rd, Paoli, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194797555 | NPI | - | NPPES |
| 2019914 | Medicaid | NV | |
| 3102914 | Medicaid | NV |
| Entity Name | Southside Medical Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235123993 PECOS PAC ID: 6901700723 Enrollment ID: O20031212000357 |
| Entity Name | Griffin Obgyn Clinic Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558415919 PECOS PAC ID: 6800789041 Enrollment ID: O20040203000590 |
| Entity Name | Piedmont Providers Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548273592 PECOS PAC ID: 9830082825 Enrollment ID: O20040204000321 |
| Entity Name | Azalea Womens Center, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710194097 PECOS PAC ID: 7517952302 Enrollment ID: O20040420000423 |
| Entity Name | Southern Ob Gyn Associates P C |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801951454 PECOS PAC ID: 8729059043 Enrollment ID: O20040802000950 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Obhg Georgia, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750686838 PECOS PAC ID: 9032383583 Enrollment ID: O20111117000602 |
| Entity Name | Sgmc Physician Network Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417597170 PECOS PAC ID: 4082036843 Enrollment ID: O20201015000629 |
| Mailing Address | Practice Location Address |
|---|---|
| Rudolph Carlo King, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: () - | Rudolph Carlo King, MD 642 W Hospital Rd, Paoli, IN 47454-9672 Ph: (812) 723-7450 |
Wayne L Farley Jr., DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7450 Fax: 812-723-7450 | |
Michael Norton Becker, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 642 W Hospital Rd, Paoli, IN 47454 Phone: 812-723-7450 Fax: 812-723-7508 |