OrganizationActive
Randall L. Rudeen MD PA
NPI 1336400043 · Gynecology Physician · Nampa, ID
Randall L. Rudeen MD PA is a Gynecology Physician organization in Nampa, ID (NPI 1336400043).
Provider details
- NPI number
- 1336400043
- Entity type
- Organization
- Primary specialty
- Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Randall Rudeen, Doctor/Owner(208) 467-2400
- License
- M5040 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1603 12th Ave Rd
Suite B
Nampa, ID 83686-7712
Phone: (208) 467-2400
Fax: (208) 467-6416
Street-level locationGet directions
Mailing address
1603 12th Ave Rd
Nampa, ID 83686-7712
Other names (DBA / former)
- Other name
- Women'S Medical Clinic
Registry dates
- Enumerated
- 2012-05-30
- Last updated
- 2012-05-30
Frequently asked questions
- What is Randall L. Rudeen MD PA's NPI number?
- Randall L. Rudeen MD PA's National Provider Identifier (NPI) is 1336400043, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Randall L. Rudeen MD PA?
- Randall L. Rudeen MD PA is classified in the NPPES registry as Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Randall L. Rudeen MD PA located?
- Randall L. Rudeen MD PA's practice location on file with NPPES is 1603 12th Ave Rd, Nampa, ID 83686-7712.
- What is Randall L. Rudeen MD PA's phone number?
- The practice phone number listed in the NPPES registry for Randall L. Rudeen MD PA is (208) 467-2400.
- Who is the authorized official for Randall L. Rudeen MD PA?
- The authorized official listed on Randall L. Rudeen MD PA's NPPES record is Randall Rudeen, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Randall L. Rudeen MD PA's NPI active?
- Yes — Randall L. Rudeen MD PA's NPI (1336400043) is active in the NPPES registry as of the last update on 2012-05-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.