Active NPI
Ruc LLC
- Surgery Physician
- Mesa, AZ
National Provider Identifier
1184263352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- RUC LLC
- Practice address
- 4540 E Baseline Rd Ste 119
Mesa, AZ 85206-4617 - Phone
- (480) 447-8894
- NPI assigned
- Jan 5, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nick Crist
- Title
- Sole Member
- Phone
- (317) 442-8436
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary | ||
| Ambulatory Surgical Clinic/Center | 261QA1903X |
Addresses
Primary practice location
4540 E Baseline Rd Ste 119
Mesa, AZ 85206-4617
Mailing address
PO Box 11180
Tempe, AZ 85284-0020
Phone (480) 447-8894
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1578182400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1578182400000",
"number": "1184263352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11180",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852840020",
"telephone_number": "480-447-8894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4540 E BASELINE RD STE 119",
"city": "MESA",
"state": "AZ",
"postal_code": "852064617",
"telephone_number": "480-447-8894"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RUC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-05",
"last_updated": "2020-01-05",
"certification_date": "2020-01-05",
"status": "A",
"authorized_official_last_name": "CRIST",
"authorized_official_first_name": "NICK",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "317-442-8436"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.