Organization Active NPI

Sharon E Ruch MD PLLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1043677784
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12553 Issued in NV
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

Updated by the provider on Jan 26, 2016

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

Authorized official

Name
Sharon E Ruch, MDNPI 1619174307
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
12553OtherNVLICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.