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

Dr. Theodore Mark Rutledge, MD

Individual provider Internal Medicine Physician · NPI 1508942285

Dr. Theodore Mark Rutledge, MD is an Internal Medicine in Ada, Oklahoma. Graduated from Wright State University Boonshoft School of Medicine in 1991, 35 years ago. Practices with Chickasaw Nation Division of Health, a 243-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
35
Trained at
Wright State University Boonshoft School of Medicine
Licensed in
AR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1921 Stonecipher Dr
Ada, OK 74820-3439
Phone: (580) 436-3980
Fax: (580) 421-6283
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence E5021 (AR)

Record details

NPI number1508942285
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 27, 2006
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address1925 Warrior Way, Ada, OK 74820-3491

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolWRIGHT STATE UNIVERSITY BOONSHOFT SCHOOL OF MEDICINE
Graduated 1991 (35 years in practice)
Group practice Chickasaw Nation Division Of Health — 243 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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