Marisol Vega de Ruck, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

34199 Issued in KY

Practice address

7950 Martin Loop
Martin Army Community Hospital
Fort Benning, GA 31905-5647

Phone

(706) 544-5097

Fax

(706) 544-3950

NPI assigned

Sep 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1215029764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 ROSEWOOD DR",
            "city": "FORTSON",
            "state": "GA",
            "postal_code": "318086034",
            "telephone_number": "706-653-9892",
            "fax_number": "706-544-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7950 MARTIN LOOP",
            "address_2": "MARTIN ARMY COMMUNITY HOSPITAL",
            "city": "FORT BENNING",
            "state": "GA",
            "postal_code": "319055647",
            "telephone_number": "706-544-5097",
            "fax_number": "706-544-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEGA DE RUCK",
        "first_name": "MARISOL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KY",
            "license": "34199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barry Alan Vance, CRNA
• Seth Vernon Vande Kamp, DO
• Mark Vanzo, DO
• Marielena Cecilia Vasquez, M.D.
• Traci Vasquez, PT, DPT
• Raymond Daniel Vickery, DO
• Nolan Villani, MD
• Simon Michael Vogler, MD
• Natalie Neal Vonhilsheimer, FNP
• Karolina Wadolowska

• Pediatrics Physician in Fort Benning, GA
• Providers in Fort Benning, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.