# THERESA WENDEL RUDDY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1841491099
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 255925 | NY | — |
| 2086S0127X | Trauma Surgery Physician | 255925 | NY | — |
| 208C00000X | Colon & Rectal Surgery Physician | 18258-875 | WI | Yes |
| 208C00000X | Colon & Rectal Surgery Physician | 255925 | NY | — |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 06/11/2018