Individual provider Active NPI

Ruth Guzman, NP

  • Family Nurse Practitioner
  • Oswego, NY
National Provider Identifier
1346960556
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
350262 Issued in NY
Practice address
300 State Route 104 Ste 1
Oswego, NY 13126-2956
Phone
(315) 342-0030
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 350262 NY Primary

Addresses

Primary practice location

300 State Route 104 Ste 1
Oswego, NY 13126-2956

Mailing address

300 State Route 104 Ste 1
Oswego, NY 13126-2956
Phone (315) 342-0030

Other identifiers 1

IdentifierTypeStateIssuer
350262OtherNYNYS LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ruthie@prammd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221121000806 NY Practitioner - Nurse Practitioner 3476921628 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Physician Care PCGroup PAC ID 9032367453, 74 clinicians

Practice addresses (Care Compare)

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

110 W Utica St
Oswego, NY 13126-3047
Phone (315) 342-2024

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Padma Ram Medical Services, LLC CurrentSince Oct 20, 2022 Accepting new patients
Physician Care PC CurrentSince Nov 6, 2023 Accepting new patients
Dr. Padma Ram Medical Services, LLC CurrentSince Oct 20, 2022 Accepting new patients
Familycare Medical Group, PC PastSince Sep 4, 2022 Accepting new patients
Lake Ontario Prompt Medical Care, PLLC PastSince Apr 30, 2023 Accepting new patients

Locations

300 State Route 104
Oswego, NY 13126
Phone (315) 342-0030

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

300 State Route 104
#2
Oswego, NY 13126
Phone (315) 216-4036

300 State Route 104
#1
Oswego, NY 13126
Phone (315) 342-0030

110 W Utica St
Oswego, NY 13126
Phone (315) 342-2024

Interoperability endpoints

  • Direct secure messaging: rguzman@oswegohealth.medentdirect.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1346960556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 104 STE 1",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262956",
            "telephone_number": "315-342-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 STATE ROUTE 104 STE 1",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131262956",
            "telephone_number": "315-342-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "RUTH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "350262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE NUMBER",
            "identifier": "350262",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ruthie@prammd.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "300 State Route 104 Ste 1",
            "city": "Oswego",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131262956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oswego, NY

Sources for this page

Verify at the official NPI Registry.