Richard J. Ruggieri MD Inc.

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD07821 Issued in RI

Legal business name

RICHARD J. RUGGIERI MD INC.

Doing business as

Wayland Medical Associates

Practice address

160 Wayland Ave
Providence, RI 02906-4304

Phone

(401) 521-1221

NPI assigned

Feb 12, 2007

Organization subpart

Yes

Parent organization

MEDVANTX, INCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kenny Heine

Title

Director of Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Other names 1

• Wayland Medical Associates Doing business as

Tax ID family

Richard J Ruggieri MD Inc2 organizations share this tax ID, including this one

Part of

Tri - State Medical Group Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Richard J. Ruggieri, MD, Inc.

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1558480434
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abbey E Barkley Davis, NP

  • Family Nurse Practitioner
  • Smithfield, RI
  • NPI 1568179547
  NPD
• Richard Joseph Ruggieri, M.D.

  • Internal Medicine Physician
  • Providence, RI
  • NPI 1700883055
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684713600000",
    "number": "1013059658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 WAYLAND AVE",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064304",
            "telephone_number": "401-521-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD J. RUGGIERI MD INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC",
        "enumeration_date": "2007-02-12",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "RI",
            "license": "MD07821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wayland Medical Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Chana Rich, M.D.
• Josiah D Rich, MD
• Meagan Rich
• Nicholas Rich
• Richard a Moore MD Internal Medicine LLC
• Richard J. Ruggieri, MD, Inc.
• Richard J. Zienowicz, MD Inc
• Jack Richard
• Justin L Richard
• Laura J Richard

• Non-Pharmacy Dispensing Site in Providence, RI
• Providers in Providence, RI by specialty
• Non-Pharmacy Dispensing Site in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.