Active NPI
Anthony Mark Ruffa, DO
- Family Medicine Physician
- Erie, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- OS15523
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0014128860013 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS15523 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Erie Medical & Rehab Center Inc | Family Medicine | Current | Accepting new patients |
| Jupiter Familyhealthcare,PA | Family Medicine | Current | Accepting new patients |
| Advanced Medical Centers PLLC | Family Medicine | Current | Accepting new patients |
| BHS Faster Care PLLC | Current | Accepting new patients | |
| Signify Health, LLC | Current | Accepting new patients | |
| Bay City Associates in Podiatry Inc | Past | Accepting new patients | |
| New Age Dermatology Inc | Past | 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
- 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.
-
- Family Medicine Physician
- Erie, PA
- NPI 1588272587
-
- Urgent Care Clinic/Center
- Butler, PA
- NPI 1316269863
-
- Family Medicine Physician
- Jupiter, FL
- NPI 1366503203
-
- Foot & Ankle Surgery Podiatrist
- Meadville, PA
- NPI 1891345104
-
- Dermatology Physician
- West Palm Beach, FL
- NPI 1962586586
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2025; 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.