Theodore J Ruza DO PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

TR009905 Issued in MI

Legal business name

THEODORE J RUZA DO PC

Practice address

7001 Orchard Lake Rd
Suite 424
West Bloomfield, MI 48322-3604

Phone

(248) 626-4600

Fax

(248) 626-3988

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Theodore J Ruza, D.O.NPI 1346392735

Title

Owner

Phone

(248) 626-4600

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 5

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

• Theodore J Ruza, DO PC

  • Psychiatry Physician
  • West Bloomfield, MI
  • NPI 1346392735
  Medicare reassignment NPD Authorized official
• Darcy Paisley, FNP

  • Family Nurse Practitioner
  • West Bloomfield, MI
  • NPI 1134851074
  Medicare reassignment NPD
• Kristyn Gall, CNS

  • Clinical Nurse Specialist
  • West Bloomfield, MI
  • NPI 1811094378
  NPD
• Kelly Gardiner

  • Nurse Practitioner
  • Detroit, MI
  • NPI 1447294970
  NPD (past)
• David M Gast, MD

  • Physical Medicine & Rehabilitation Physician
  • Auburn, ME
  • NPI 1518953934
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1033323449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD",
            "address_2": "SUITE 424",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223604",
            "telephone_number": "248-626-4600",
            "fax_number": "248-626-3988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7001 ORCHARD LAKE RD",
            "address_2": "SUITE 424",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483223604",
            "telephone_number": "248-626-4600",
            "fax_number": "248-626-3988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE J RUZA DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RUZA",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-626-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "103TP0016X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": "MI",
            "license": "TR009905",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "TR009905",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID NUMBER",
            "identifier": "5631523",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2805977",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in West Bloomfield, MI
• Providers in West Bloomfield, MI by specialty
• Psychiatry Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.