NPIMap

Organization Active NPI

Ruetzel Gynecology & Obstetrics

  • Obstetrics & Gynecology Physician
  • Chesapeake, VA
National Provider Identifier
1023482965
Registry record updated Feb 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101048262 Issued in VA
Legal business name
RUETZEL GYNECOLOGY & OBSTETRICS
Practice address
824 Greenbrier Pkwy Ste 100
Chesapeake, VA 23320-3697
Phone
(757) 410-7390
Fax
(757) 410-7395
NPI assigned
Nov 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2016

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

Authorized official

Name
Dr. Craig H Ruetzel, MDNPI 1033129218
Title
Owner
Phone
(757) 410-7390

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 0101048262 VA Primary

Addresses

Primary practice location

824 Greenbrier Pkwy Ste 100
Chesapeake, VA 23320-3697

Mailing address

824 Greenbrier Pkwy Ste 100
Chesapeake, VA 23320-3697
Phone (757) 410-7390

Other identifiers 1

IdentifierTypeStateIssuer
1033129218MedicaidVA

National Provider Directory

National Provider Directory

Locations

824 Greenbrier Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 410-7390

824 Greenbrier Pkwy
Chesapeake, VA 23320
Phone (757) 410-7390

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12771/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 11

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": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455840000000",
    "number": "1023482965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 GREENBRIER PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203697",
            "telephone_number": "757-410-7390",
            "fax_number": "757-410-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 GREENBRIER PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203697",
            "telephone_number": "757-410-7390",
            "fax_number": "757-410-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUETZEL GYNECOLOGY & OBSTETRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2016-02-19",
        "status": "A",
        "authorized_official_last_name": "RUETZEL",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-410-7390",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101048262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033129218",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2016; 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.