Active NPI
Sharon E Ruch MD PLLC
- Family Medicine Physician
- Las Vegas, NV
National Provider Identifier
1043677784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 12553
- Legal business name
- SHARON E RUCH MD PLLC
- Practice address
- 10604 San Bellacova CT
Las Vegas, NV 89141-3985 - Phone
- (702) 614-1250
- Fax
- (949) 215-5044
- NPI assigned
- Jan 26, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon E Ruch, MD
- Title
- Owner Medical Director
- Phone
- (702) 614-1250
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 12553 | NV | Primary |
Addresses
Primary practice location
10604 San Bellacova CT
Las Vegas, NV 89141-3985
Mailing address
10604 San Bellacova CT
Las Vegas, NV 89141-3985
Phone (702) 614-1250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12553 | Other | NV | LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160223000962 | NV | Part B Supplier - Clinic/Group Practice | 8729383104 |
Receives reassigned benefits from 1 practitioner Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
10620 Southern Highlands Pkwy
Ste 110155
Las Vegas, NV 89141
Phone (702) 754-5421
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Las Vegas, NV
- NPI 1154885150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453766400000",
"number": "1043677784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10604 SAN BELLACOVA CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891413985",
"telephone_number": "702-614-1250",
"fax_number": "949-215-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10604 SAN BELLACOVA CT",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891413985",
"telephone_number": "702-614-1250",
"fax_number": "949-215-5044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHARON E RUCH MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-26",
"last_updated": "2016-01-26",
"status": "A",
"authorized_official_last_name": "RUCH",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER MEDICAL DIRECTOR",
"authorized_official_telephone_number": "702-614-1250",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NV",
"license": "12553",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE",
"identifier": "12553",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.