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

Connor Blaine Rutherford, MD

Individual provider Family Medicine Physician · NPI 1700404415

Connor Blaine Rutherford, MD is a Family Practice in Shawnee, Oklahoma. Qualified in 2021, 5 years ago. Practices with Citizen Potawatomi Nation, a 35-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
5
Licensed in
OK
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2307 S Gordon Cooper Dr
Shawnee, OK 74801
Phone: (405) 273-5236
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 38079 (OK)

Record details

NPI number1700404415
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2020
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Citizen Potawatomi Nation — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Shawnee