Active NPI
John a. Ruth, Jr., M.D., P.a.
- Otolaryngology Physician
- Westminster, MD
National Provider Identifier
1215250345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- D38499
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 530911500 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
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.