Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

John Stephen Rudderow

Individual provider Surgery Physician · NPI 1043576267

John Stephen Rudderow is a General Surgery in Roanoke, Virginia. Qualified in 2012, 14 years ago. Practices with Carilion Medical Center, a 951-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2012
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Practice location Address checks out

3 Riverside Cir
Roanoke, VA 24016
Phone: (972) 978-8758
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 0102205193 (VA)

Record details

NPI number1043576267
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2012
Last updated in NPPESDecember 8, 2020
Certification dateDecember 8, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Carilion Medical Center — 951 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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