Provider Demographics
NPI:1407207061
Name:RUTTER, BILLY J (DPM)
Entity type:Individual
Prefix:
First Name:BILLY
Middle Name:J
Last Name:RUTTER
Suffix:
Gender:
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 SAWMILL RD STE 100
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-5009
Mailing Address - Country:US
Mailing Address - Phone:380-215-7070
Mailing Address - Fax:614-766-6556
Practice Address - Street 1:7211 SAWMILL RD STE 100
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-5009
Practice Address - Country:US
Practice Address - Phone:380-215-7070
Practice Address - Fax:614-766-6556
Is Sole Proprietor?:No
Enumeration Date:2016-06-24
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.003867213E00000X, 213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
No213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist