Craig J Ruskin, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

ME63210 Issued in FL

Practice address

661 E Altamonte Dr
Suite 120
Altamonte Springs, FL 32701-5105

Phone

(407) 331-9595

Fax

(407) 331-8484

NPI assigned

Jul 20, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Craig Ruskin Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1063411064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 120",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-331-9595",
            "fax_number": "407-331-8484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 E ALTAMONTE DR",
            "address_2": "SUITE 120",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015105",
            "telephone_number": "407-331-9595",
            "fax_number": "407-331-8484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSKIN",
        "first_name": "CRAIG",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME63210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372651700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRAIG",
            "last_name": "RUSKIN",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ariana Lissette Ruiz Aguilar, WHNP
• Ricardo Ruiz Lorenzo, D.C.
• Alexander Ruiz, PTA
• Carlos Ruiz, MD
• Lesbia I Ruiz, MD
• Russell M Graham MD PA
• Kamyla Rutheford
• Ryan & Urbach M.D. P.a.
• Art W. Ryder, D.M.D.
• S.M.a.R.T. Behavioral Solutions, LLC

• Surgery Physician in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; 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.