Active NPI
Jose Tadeo Ruiz, MD
- Surgery Physician
- Towson, MD
National Provider Identifier
1407922693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0026580
- Practice address
- 7600 Osler Drive
Ste 304
Towson, MD 21204 - Phone
- (410) 821-5758
- Fax
- (410) 321-9484
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0026580 | MD | Primary |
Addresses
Primary practice location
7600 Osler Drive
Ste 304
Towson, MD 21204
Mailing address
7600 Osler Drive
Ste 304
Towson, MD 21204
Phone (410) 821-5758
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 |
|---|---|---|---|
| D0026580 | MD | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407922693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7600 OSLER DRIVE",
"address_2": "STE 304",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-821-5758",
"fax_number": "410-321-9484"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7600 OSLER DRIVE",
"address_2": "STE 304",
"city": "TOWSON",
"state": "MD",
"postal_code": "21204",
"telephone_number": "410-821-5758",
"fax_number": "410-321-9484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JOSE",
"middle_name": "TADEO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0026580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.