Individual provider Active NPI

Michelle M Ruthmann, PA-C

  • Surgical Physician Assistant
  • Albuquerque, NM
National Provider Identifier
1366431355
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA2002-0020 Issued in NM
Practice address
8301 Spain Rd NE
Albuquerque, NM 87109-3166
Phone
(505) 821-6663
NPI assigned
Oct 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA2002-0020 NM Primary

Addresses

Primary practice location

8301 Spain Rd NE
Albuquerque, NM 87109-3166

Mailing address

8301 Spain Rd NE
Albuquerque, NM 87109-3166
Phone (505) 821-6663

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
3711WAMDGeneral Practice Dentistry
PA2002-0020NMMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Academy Orthopaedic Clinic LLC PastSince Nov 6, 2002 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196899200000",
    "number": "1366431355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8301 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093166",
            "telephone_number": "505-821-6663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 SPAIN RD NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093166",
            "telephone_number": "505-821-6663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTHMANN",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-21",
        "last_updated": "2007-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NM",
            "license": "PA2002-0020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; 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.