Active NPI
Ruston L Hess
- Student in an Organized Health Care Education/Training Program
- Jacksonville, FL
National Provider Identifier
1205828753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- 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, 2012
- 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
- Dr. Ruston L Hess, D.O.
- Title
- President/Owner
- Phone
- (386) 405-8791
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257942100 | Medicaid | FL |
National Provider Directory
National Provider DirectoryNPI 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.