Organization Active NPI

Ruston L Hess

  • Student in an Organized Health Care Education/Training Program
  • Jacksonville, FL
National Provider Identifier
1205828753
Registry record updated May 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
RUSTON L HESS
Practice address
2005 Knight Lane BLDG H
Navy Medicine Support Command, Attn: Med Staff Services
Jacksonville, FL 32212-0140
Phone
(619) 532-6684
NPI assigned
Aug 19, 2005
Last updated
May 29, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2012

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

Authorized official

Name
Dr. Ruston L Hess, D.O.
Title
President/Owner
Phone
(386) 405-8791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193400000X SINGLE SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

2005 Knight Lane BLDG H
Navy Medicine Support Command, Attn: Med Staff Services
Jacksonville, FL 32212-0140

Mailing address

3290 6TH Ave Apt 4D
San Diego, CA 92103-5734
Phone (386) 405-8791

Other identifiers 1

IdentifierTypeStateIssuer
257942100MedicaidFL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338249600000",
    "number": "1205828753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3290 6TH AVE APT 4D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035734",
            "telephone_number": "386-405-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 KNIGHT LANE BLDG H",
            "address_2": "NAVY MEDICINE SUPPORT COMMAND, ATTN: MED STAFF SERVICES",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322120140",
            "telephone_number": "619-532-6684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUSTON L HESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-19",
        "last_updated": "2012-05-29",
        "status": "A",
        "authorized_official_last_name": "HESS",
        "authorized_official_first_name": "RUSTON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "386-405-8791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257942100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; 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.