Organization Active NPI

John a. Ruth, Jr., M.D., P.a.

  • Otolaryngology Physician
  • Westminster, MD
National Provider Identifier
1215250345
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
D38499 Issued in MD
Legal business name
JOHN A. RUTH, JR., M.D., P.A.
Practice address
125 Airport Dr
Suite 34
Westminster, MD 21157-3024
Phone
(410) 840-3336
NPI assigned
Mar 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Authorized official

Name
Dr. John A Ruth Jr., M.D., P.A.
Title
President
Phone
(410) 366-5775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X D38499 MD Primary

Addresses

Primary practice location

125 Airport Dr
Suite 34
Westminster, MD 21157-3024

Mailing address

3333 N Calvert St
Suite 530
Baltimore, MD 21218-2867
Phone (410) 366-5775

Other identifiers 1

IdentifierTypeStateIssuer
530911500MedicaidMD

National Provider Directory

National Provider Directory

Locations

125 Airport Dr
Unit 34
Westminster, MD 21157
Phone (410) 840-3336

NPI Registry JSON

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

{
    "created_epoch": "1267574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267574400000",
    "number": "1215250345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 N CALVERT ST",
            "address_2": "SUITE 530",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212182867",
            "telephone_number": "410-366-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 AIRPORT DR",
            "address_2": "SUITE 34",
            "city": "WESTMINSTER",
            "state": "MD",
            "postal_code": "211573024",
            "telephone_number": "410-840-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN A. RUTH, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-03",
        "last_updated": "2010-03-03",
        "status": "A",
        "authorized_official_last_name": "RUTH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-366-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D., P.A."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D38499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530911500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westminster, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2010; 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.