Active NPI
Maya S Ruetschi, MD
- Plastic and Reconstructive Surgery Physician
- Lewisburg, PA
National Provider Identifier
1083789424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- MD038689L
- Practice address
- 3 Hospital Drive
Suite 122
Lewisburg, PA 17837 - Phone
- (570) 524-1199
- Fax
- (570) 522-6556
- NPI assigned
- Nov 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | MD038689L | PA | Primary |
Addresses
Primary practice location
3 Hospital Drive
Suite 122
Lewisburg, PA 17837
Mailing address
3 Hospital Drive
Suite 122
Lewisburg, PA 17837
Phone (570) 524-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD038689L | PA | MD | Plastic and Reconstructive Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083789424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 HOSPITAL DRIVE",
"address_2": "SUITE 122",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "17837",
"telephone_number": "570-524-1199",
"fax_number": "570-522-6556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 HOSPITAL DRIVE",
"address_2": "SUITE 122",
"city": "LEWISBURG",
"state": "PA",
"postal_code": "17837",
"telephone_number": "570-524-1199",
"fax_number": "570-522-6556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUETSCHI",
"first_name": "MAYA",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "PA",
"license": "MD038689L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lewisburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.