Organization Active NPI

Harry R. Ruth, M.D.,P.C.

  • Otolaryngic Allergy Physician
  • Quincy, IL
National Provider Identifier
1235305954
Registry record updated May 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngic Allergy PhysicianTaxonomy code 207YX0602X
License
036068434 Issued in IL
Legal business name
HARRY R. RUTH, M.D.,P.C.
Practice address
1107 College Ave
Suite 2
Quincy, IL 62301-2664
Phone
(217) 228-3377
Fax
(217) 228-2657
NPI assigned
May 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2008

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

Authorized official

Name
Ms. Marca Jane Owens
Title
Office Manager
Phone
(217) 228-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207YX0602X 036068434 IL Primary

Addresses

Primary practice location

1107 College Ave
Suite 2
Quincy, IL 62301-2664

Mailing address

1107 College Ave
Suite 2
Quincy, IL 62301-2664
Phone (217) 228-3377

Other identifiers 4

IdentifierTypeStateIssuer
036068434MedicaidIL
202444915OtherMOMEDICAID
243437OtherHEALTHLINK
00122928OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1235305954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 COLLEGE AVE",
            "address_2": "SUITE 2",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012664",
            "telephone_number": "217-228-3377",
            "fax_number": "217-228-2657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 COLLEGE AVE",
            "address_2": "SUITE 2",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012664",
            "telephone_number": "217-228-3377",
            "fax_number": "217-228-2657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY R. RUTH, M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "MARCA",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "217-228-3377",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "IL",
            "license": "036068434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068434",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "202444915",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "243437",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00122928",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.