Individual provider Active NPI

Anthony Mark Ruffa, DO

  • Family Medicine Physician
  • Erie, PA
National Provider Identifier
1134128341
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS15523 Issued in FL
Practice address
2625 Parade St
Erie, PA 16504-2809
Phone
(814) 452-6383
Fax
(814) 452-1427
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS15523 FL Primary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X OS007632L PA
Family Medicine Physician 207Q00000X OS007632L PA

Addresses

Primary practice location

2625 Parade St
Erie, PA 16504-2809

Mailing address

3901 Liberty St
Erie, PA 16509-1689
Phone (814) 866-5559

Other practice location 1

3901 Liberty St Ste 2
Erie, PA 16509-1689
Phone (814) 866-5559

Other identifiers 1

IdentifierTypeStateIssuer
0014128860013MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, OH, FL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20060323000228 PA Practitioner - Family PracticePractitioner - Addiction Medicine 6709894397 Reassigns benefits to 3 organizations
I20130805000744 OH Practitioner - Family Practice 6709894397 Reassigns benefits to 1 organization
I20210603000021 FL Practitioner - Family Practice 6709894397 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS15523FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erie Medical & Rehab Center Inc Family Medicine CurrentSince Sep 8, 2025 Accepting new patients
Jupiter Familyhealthcare,PA Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
Advanced Medical Centers PLLC Family Medicine CurrentSince Jul 31, 2024 Accepting new patients
BHS Faster Care PLLC CurrentSince Dec 1, 2015 Accepting new patients
Signify Health, LLC CurrentSince Jul 27, 2024 Accepting new patients
Bay City Associates in Podiatry Inc PastSince Sep 8, 2025 Accepting new patients
New Age Dermatology Inc PastSince Feb 1, 2022 Accepting new patients

Locations

4600 Military Trl
Ste 115
Jupiter, FL 33458
Phone (561) 775-5252

175 S 3rd St
Ste 200
Columbus, OH 43215
Phone (267) 817-8902

250B Butler Cmns
Butler, PA 16001
Phone (877) 967-4368

3901 Liberty St
Ste 2
Erie, PA 16509
Phone (814) 866-5559

3901 Liberty St
Erie, PA 16509
Phone (814) 864-2360

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BDDIBA

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1134128341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 LIBERTY ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165091689",
            "telephone_number": "814-866-5559",
            "fax_number": "814-864-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 PARADE ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165042809",
            "telephone_number": "814-452-6383",
            "fax_number": "814-452-1427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Liberty St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165091689",
            "country_code": "US",
            "telephone_number": "814-866-5559",
            "fax_number": "814-864-5595",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUFFA",
        "first_name": "ANTHONY",
        "middle_name": "MARK",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15523",
            "primary": true
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "PA",
            "license": "OS007632L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007632L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014128860013",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.