Ronald C Ruppert, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO166272 Issued in OR

Practice address

2859 State St Ste 101
Medford, OR 97504-8495

Phone

(541) 282-6505

Fax

(541) 282-6520

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Osteopathy

Practice roles

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.

• David Rosenstein MD a Professional Corporation

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1063606465
  NPD (past)

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1174510234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2859 STATE ST STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048495",
            "telephone_number": "541-282-6505",
            "fax_number": "541-282-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2859 STATE ST STE 101",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048495",
            "telephone_number": "541-282-6505",
            "fax_number": "541-282-6520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPERT",
        "first_name": "RONALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "DO166272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500675318",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ronald.ruppert@asante.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "2859 State St Ste 101",
            "city": "Medford",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975048495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Marbella Alejandra Ruiz Castro, QMHA
• Michelle Adaly Ruiz-Castro
• Dorian Ruiz
• Melissa Marie Ruiz, PTA
• Michael Preston Rulon, MD
• Jo Ann Rush, R.PH.
• Sharon Louise Rush, LMSW
• Michele Christine Rushton, MD
• Lorie Charlene Ruskin, RN
• Andrew Kern Russell, RPH, PHARMD

• Family Medicine Physician in Medford, OR
• Providers in Medford, OR by specialty
• Family Medicine Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.

Verify at the official NPI Registry.