Individual provider Active NPI

Corinne Ruggiero, D.O.

  • Family Medicine Physician
  • Exton, PA
National Provider Identifier
1013920479
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS006794L Issued in PA
Practice address
605 Gordon Dr
Exton, PA 19341-1287
Phone
(610) 363-0248
Fax
(610) 363-4004
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS006794L PA Primary

Addresses

Primary practice location

605 Gordon Dr
Exton, PA 19341-1287

Mailing address

605 Gordon Dr
Exton, PA 19341-1287
Phone (610) 363-0248

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121022000276 PA Practitioner - Family Practice 7012167455 Practice locations: Exton, PA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS006794LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pickering Family Practice Family Medicine Past Accepting new patients
Lionville Family Practice LLC Family Medicine PastSince Aug 1, 2023 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013920479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411287",
            "telephone_number": "610-363-0248",
            "fax_number": "610-363-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 GORDON DR",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411287",
            "telephone_number": "610-363-0248",
            "fax_number": "610-363-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "CORINNE",
        "name_prefix": "Mrs.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS006794L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Exton, PA

Sources for this page

Verify at the official NPI Registry.