Ruben Fernandez Vazquez
Individual provider Active NPI Physician Assistant · Randleman, NC
NPI 1295249209 · NPPES record last updated Nov 19, 2025
Key facts
- NPI
- 1295249209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- Practice address
- 608 W Academy St
Randleman, NC 27317-9748 - Phone
- (336) 495-1001
- Fax
- (336) 495-1001
- NPI assigned
- Nov 29, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Emergency Coverage LLC
Practice addresses (Care Compare)
1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-8101
Hospital & facility affiliations
- Maria Parham Medical Center
- Onslow Memorial Hospital
- Wilson Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 87.33
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180109000214 | NC | Practitioner - Physician Assistant | 6204195720 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tarheel Emergency Group, PLLC | Current |
Accepting new patients | |
| Gem Capital Physicians, PLLC | Current |
Accepting new patients | |
| Bull City Physicians, PLLC | Current |
Accepting new patients | |
| Emergency Coverage, LLC | Current |
Accepting new patients | |
| Emergency Coverage Services, PC | Physician Assistant | Past | Accepting new patients |
Locations
566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Yes |
Addresses
Primary practice location
608 W Academy St
Randleman, NC 27317-9748
Mailing address
550 White Oak St
Asheboro, NC 27203-4710
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0010-07721 | Other | NC | NC STATE LICENSE |
Other providers in Randleman, NC
- Divine Intervention Home Care
- Dr. David Parsons D.D.S PA
- Katie Elkins
- Barry A. England
- Eyecarecenter OD PA
- Forsyth Medical Group, LLC
- Raul Garcia
- Wysheka Glover
- Amber Griffin
- Lori Jane Grubb
All providers in Randleman, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.