Active NPI
Earl C. Ruby, D.O.
- Family Medicine Physician
- Midlothian, TX
National Provider Identifier
1396969176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L0917
- Practice address
- 4440 E Highway 287
Midlothian, TX 76065-5576 - Phone
- (972) 723-5590
- Fax
- (972) 723-5592
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L0917 | TX | Primary |
Addresses
Primary practice location
4440 E Highway 287
Midlothian, TX 76065-5576
Mailing address
4440 E Highway 287
Midlothian, TX 76065-5576
Phone (972) 723-5590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030724104 | Medicaid | TX | |
| 343164YL7A | Other | TX | MEDICARE - OTHER |
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
- Doctor of Osteopathy, Doctor of Medicine
Interoperability endpoints
- earl.ruby.1@26849.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466035200000",
"number": "1396969176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 E HIGHWAY 287",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655576",
"telephone_number": "972-723-5590",
"fax_number": "972-723-5592"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 E HIGHWAY 287",
"city": "MIDLOTHIAN",
"state": "TX",
"postal_code": "760655576",
"telephone_number": "972-723-5590",
"fax_number": "972-723-5592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBY",
"first_name": "EARL",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-12",
"last_updated": "2016-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "L0917",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030724104",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - OTHER",
"identifier": "343164YL7A",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Midlothian, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.