Ruan Surgical Services

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Legal business name

RUAN SURGICAL SERVICES

Practice address

950 Creek Cove Way
Loganville, GA 30052-8606

Phone

(404) 671-9556

NPI assigned

Oct 12, 2011

Last updated

Oct 12, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenya Ruan, CSA

Title

Owner, President

Phone

(404) 671-9556

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318377600000",
    "number": "1396020210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1251",
            "city": "REDAN",
            "state": "GA",
            "postal_code": "300741251",
            "telephone_number": "404-671-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CREEK COVE WAY",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528606",
            "telephone_number": "404-671-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUAN SURGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A",
        "authorized_official_last_name": "RUAN",
        "authorized_official_first_name": "KENYA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "404-671-9556",
        "authorized_official_credential": "CSA"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgical Physician Assistant in Loganville, GA
• Providers in Loganville, GA by specialty
• Surgical Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.