Active NPI
Barry Lynn Ruffin
- Developmentally Disabled Services Day Training Agency
- Cincinnati, OH
National Provider Identifier
1124758669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Practice address
- 802 Vienna Woods Dr
Cincinnati, OH 45211-6008 - Phone
- (513) 225-8987
- NPI assigned
- Jun 16, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
802 Vienna Woods Dr
Cincinnati, OH 45211-6008
Mailing address
802 Vienna Woods Dr
Cincinnati, OH 45211-6008
Phone (513) 225-8987
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3125206 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1655337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1124758669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 VIENNA WOODS DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452116008",
"telephone_number": "513-225-8987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 VIENNA WOODS DR",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452116008",
"telephone_number": "513-225-8987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFIN",
"first_name": "BARRY",
"middle_name": "LYNN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-06-16",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3125206",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.