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

Katherine Theresa Ruddy, PA-C

Individual provider Physician Assistant · NPI 1669180055

Katherine Theresa Ruddy, PA-C is a Physician Assistant in Goodyear, Arizona. Qualified in 2017, 9 years ago. Practices with Vhs Outpatient Clinics Inc, a 206-clinician group and accepts Medicare assignment.

Years since qualifying
9
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1325 N Litchfield Rd Ste 125
Goodyear, AZ 85395-1215
Phone: (480) 420-0749
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1669180055
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 14, 2022
Last updated in NPPESJune 10, 2025
Certification dateJune 10, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Vhs Outpatient Clinics Inc — 206 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Goodyear