Individual provider Active NPI

Cheryl Wolfe-Ruiz, P.A.-C

  • Medical Physician Assistant
  • Wickenburg, AZ
National Provider Identifier
1386709517
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
2546 Issued in AZ
Practice address
108 N Frontier St
Wickenburg, AZ 85390-4411
Phone
(928) 684-7255
Fax
(928) 684-7299
NPI assigned
Dec 27, 2006
Last updated
Feb 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 2546 AZ Primary

Addresses

Primary practice location

108 N Frontier St
Wickenburg, AZ 85390-4411

Mailing address

108 N Frontier St
Wickenburg, AZ 85390-4411
Phone (928) 684-7255

Other identifiers 1

IdentifierTypeStateIssuer
769273MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2546AZMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Barnet Dulaney Perkins Eye Center, PC CurrentSince Jul 1, 2017 Accepting new patients
Southwest Oncology & Hematology, PC Past Accepting new patients
Barnet Dulaney Perkins Eye Center, PC Past Accepting new patients

Locations

350 N Switzer Canyon Dr
Flagstaff, AZ 86001
Phone (928) 779-0500

1626 N Litchfield Rd
Ste 110
Goodyear, AZ 85395
Phone (817) 995-2500

1151 S La Canada Dr
Ste 200
Green Valley, AZ 85614
Phone (520) 625-8562

40 Capri Blvd
Ste 102
Lk Havasu Cty, AZ 86403
Phone (520) 758-2020

5250 E Southern Ave
Mesa, AZ 85206
Phone (480) 420-1005

4800 N 22nd St
Phoenix, AZ 85016
Phone (602) 508-4843

4800 N 22nd St
Ste 120
Phoenix, AZ 85016

1610 S White Mountain Rd
Show Low, AZ 85901
Phone (928) 537-3937

14820 N Del Webb Blvd
Sun City, AZ 85351

698 E Wetmore Rd
Ste 100
Tucson, AZ 85705
Phone (520) 690-5707

Interoperability endpoints

  • Direct secure messaging: cheryl.wolferuiz.p11@direct.avp.nextgenshare.com

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1386709517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 N FRONTIER ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853904411",
            "telephone_number": "928-684-7255",
            "fax_number": "928-684-7299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N FRONTIER ST",
            "city": "WICKENBURG",
            "state": "AZ",
            "postal_code": "853904411",
            "telephone_number": "928-684-7255",
            "fax_number": "928-684-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFE-RUIZ",
        "first_name": "CHERYL",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "2546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "769273",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wickenburg, AZ

Sources for this page

Verify at the official NPI Registry.