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

Jason Ross Rudman

Individual provider Otolaryngology Physician · NPI 1487072229

Jason Ross Rudman is an Otolaryngology in Saint Louis, Missouri. Graduated from University of Miami, Lm Miller School of Medicine in 2014, 12 years ago. Practices with Physician Groups Lc, a 524-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
12
Trained at
University of Miami, Lm Miller School of Medicine
Licensed in
MO
In the registry since
2014
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Practice location Address checks out

3009 N Ballas Rd Ste 380C
Saint Louis, MO 63131
Phone: (314) 996-4790
Fax: (314) 996-4792
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1611 Nw 12th Ave, Miami, FL 33136-1005 — (561) 715-3607

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 2019016866 (MO)

Record details

NPI number1487072229
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 30, 2014
Last updated in NPPESMarch 17, 2021
Certification dateMarch 17, 2021

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Saint Louis