Ellen Rucker

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2792 Issued in SC

Practice address

106 A Woodland Drive
Lancaster, SC 29720

Phone

(803) 286-7746

Fax

(803) 286-7748

NPI assigned

Nov 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Ellen Rucker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Rucker Chiropractic

  • Chiropractor
  • Lancaster, SC
  • NPI 1679764849
  NPD (past)
• Southern States Physical Therapy LLC

  • Physical Therapist
  • Lancaster, SC
  • NPI 1285024836
  NPD (past)

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1316014194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 203",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29721",
            "telephone_number": "803-286-7746",
            "fax_number": "803-286-7748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 A WOODLAND DRIVE",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "803-286-7746",
            "fax_number": "803-286-7748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCKER",
        "first_name": "ELLEN",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "2792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CH2792",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELLEN",
            "last_name": "RUCKER",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Rooted in Grace Primary Care LLC
• Rooted in Grace Primary Care, LLC
• Karen Ross
• Rucker Chiropractic
• Rucker Dentistry
• Patricia King Rucker, DDS
• Blenda Christina Ruggiero, PA-C
• Tara Sabatinos, PAC
• Eloose Saint Jean
• Samaritans Home Care LLC

• Chiropractor in Lancaster, SC
• Providers in Lancaster, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; 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.