Active NPI
Alex Ruth, M.D.
- Pediatrics Physician
- Knoxville, TN
National Provider Identifier
1225019987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD0000005770
- Practice address
- 7733 Oak Ridge Hwy
Knoxville, TN 37931-3343 - Phone
- (865) 470-2560
- Fax
- (865) 691-5883
- NPI assigned
- Nov 9, 2005
- Last updated
- Jan 20, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD0000005770 | TN | Primary |
Addresses
Primary practice location
7733 Oak Ridge Hwy
Knoxville, TN 37931-3343
Mailing address
7733 Oak Ridge Hwy
Knoxville, TN 37931-3343
Phone (865) 470-2560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0000005770 | TN | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453248000000",
"number": "1225019987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7733 OAK RIDGE HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379313343",
"telephone_number": "865-470-2560",
"fax_number": "865-691-5883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7733 OAK RIDGE HWY",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379313343",
"telephone_number": "865-470-2560",
"fax_number": "865-691-5883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUTH",
"first_name": "ALEX",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2016-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TN",
"license": "MD0000005770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.