Active NPI
Michelle M Ruthmann, PA-C
- Surgical Physician Assistant
- Albuquerque, NM
National Provider Identifier
1366431355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA2002-0020
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3711 | WA | MD | General Practice Dentistry |
| PA2002-0020 | NM | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academy Orthopaedic Clinic LLC | Past | 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.
-
- Specialist
- Albuquerque, NM
- NPI 1336334127
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.