Active NPI
Yashica Yvonne Ruffin, MD., MPH
- Addiction Medicine (Family Medicine) Physician
- Oxford, NC
National Provider Identifier
1073753497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Family Medicine) Physician
- License
- D0076796
- Practice address
- 1015 Lewis Street
Oxford, NC 27565 - Phone
- (919) 603-0873
- NPI assigned
- Feb 25, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2011-01420 | NC | |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | D0076796 | MD | Primary |
Addresses
Primary practice location
1015 Lewis Street
Oxford, NC 27565
Mailing address
1721 Bertland Ave
Durham, NC 27705
Phone (347) 218-1388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-01420 | NC | MD | Family Medicine Physician |
| D0076796 | MD | MD | Addiction Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glass Health Programs, Inc. | Current | Accepting new patients | |
| East Baltimore Community Corporation / Reflective Treatment Center | Current | Accepting new patients | |
| Maryland Medical Specialists Inc | Family Medicine | Current | Accepting new patients |
| E J a L Health Services Inc | Current | Accepting new patients |
Locations
145 W Ostend St
Ste 600
Baltimore, MD 21230
Phone (240) 542-8509
301 N Gay St
Baltimore, MD 21202
Phone (410) 752-3500
133 Rollins Ave
Ste 3
Rockville, MD 20852
Phone (202) 935-1033
Interoperability endpoints
- yashica.ruffin@360970842865668.direct.elationemr.com
- yashica.ruffin.1@28555.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Methadone Clinic
- Glen Burnie, MD
- NPI 1891825345
-
- Addiction (Substance Use Disorder) Counselor
- Baltimore, MD
- NPI 1194796615
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bel Camp, MD
- NPI 1689937260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651017600000",
"number": "1073753497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 BERTLAND AVE",
"city": "DURHAM",
"state": "NC",
"postal_code": "27705",
"telephone_number": "347-218-1388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 LEWIS STREET",
"city": "OXFORD",
"state": "NC",
"postal_code": "27565",
"telephone_number": "919-603-0873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFIN",
"first_name": "YASHICA",
"middle_name": "YVONNE",
"credential": "MD., MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-25",
"last_updated": "2022-04-27",
"certification_date": "2022-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2011-01420",
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "MD",
"license": "D0076796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oxford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.