Active NPI
Susan Elizabeth Ruane, MD
- Emergency Medicine Physician
- Worcester, MA
National Provider Identifier
1366743213
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 57210
- Practice address
- 123 Summer St
Worcester, MA 01608-1216 - Phone
- (508) 363-6025
- NPI assigned
- Nov 9, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 57210 | MA | Primary |
Addresses
Primary practice location
123 Summer St
Worcester, MA 01608-1216
Mailing address
123 Summer St
Worcester, MA 01608-1216
Phone (508) 363-6025
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57210 | MA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289260800000",
"number": "1366743213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 SUMMER ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081216",
"telephone_number": "508-363-6025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUANE",
"first_name": "SUSAN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2010-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "57210",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.