Active NPI
James Jon Ruane, IDC
- Independent Duty Corpsman
- Bremerton, WA
National Provider Identifier
1013123405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Duty Corpsman
- License
- 17101002X
- Practice address
- 6935 Liverpool CT NE
Bremerton, WA 98311-9646 - Phone
- (360) 476-6872
- NPI assigned
- May 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Corpsman | 1710I1002X | 17101002X | CA | Primary |
Addresses
Primary practice location
6935 Liverpool CT NE
Bremerton, WA 98311-9646
Mailing address
1400 Farragut Ave.
BLDG 940
Bremerton, WA 98312
Phone (360) 476-6872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17101002X | CA | MD | Independent Duty Corpsman |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013123405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 FARRAGUT AVE.",
"address_2": "BLDG 940",
"city": "BREMERTON",
"state": "WA",
"postal_code": "98312",
"telephone_number": "360-476-6872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6935 LIVERPOOL CT NE",
"city": "BREMERTON",
"state": "WA",
"postal_code": "983119646",
"telephone_number": "360-476-6872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUANE",
"first_name": "JAMES",
"middle_name": "JON",
"credential": "IDC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1710I1002X",
"taxonomy_group": "",
"desc": "Military Health Care Provider, Independent Duty Corpsman",
"state": "CA",
"license": "17101002X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bremerton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.