Organization Active NPI

Ruth a Yates, MD

  • Dermatology Physician
  • Huntsville, AL
National Provider Identifier
1013177971
Registry record updated Apr 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
13786 Issued in AL
Legal business name
RUTH A YATES, MD
Practice address
520 Madison St SE Ste C
Huntsville, AL 35801-4253
Phone
(256) 536-4401
Fax
(256) 536-3153
NPI assigned
Jun 13, 2008
Reactivated
Apr 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2020

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

Authorized official

Name
Ruth A Yates, MD
Title
Owner/Physician
Phone
(256) 536-4401

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X 13786 AL Primary

Addresses

Primary practice location

520 Madison St SE Ste C
Huntsville, AL 35801-4253

Mailing address

520 Madison St SE Ste C
Huntsville, AL 35801-4253
Phone (256) 536-4401

Other identifiers 1

IdentifierTypeStateIssuer
000084341MedicaidAL

National Provider Directory

National Provider Directory

Locations

520 Madison St SE
Ste C
Huntsville, AL 35801
Phone (256) 536-4401

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587686400000",
    "number": "1013177971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MADISON ST SE STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014253",
            "telephone_number": "256-536-4401",
            "fax_number": "256-536-3153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MADISON ST SE STE C",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014253",
            "telephone_number": "256-536-4401",
            "fax_number": "256-536-3153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUTH A YATES, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-13",
        "last_updated": "2020-04-24",
        "certification_date": "2020-04-24",
        "deactivation_date": "2008-10-01",
        "reactivation_date": "2020-04-24",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "RUTH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "256-536-4401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "AL",
            "license": "13786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000084341",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2020; 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.