NPIMap

Individual provider Active NPI

Blenda Christina Ruggiero, PA-C

  • Physician Assistant
  • Lancaster, SC
National Provider Identifier
1437363314
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2703 Issued in SC
Practice address
421 West Main Street
Lancaster, SC 29720
Phone
(032) 858-7008
NPI assigned
May 9, 2007
Last updated
Jul 8, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2703 SC Primary
Surgical Physician Assistant 363AS0400X 25MP00081300 NJ

Addresses

Primary practice location

421 West Main Street
Lancaster, SC 29720

Mailing address

PO Box 603898
Charlotte, NC 28260-3898
Phone (843) 792-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170804002144 PA Practitioner - Physician Assistant 7911954318 Reassigns benefits to 1 organization
I20190626003798 SC Practitioner - Physician Assistant 7911954318 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012226NYMDChiropractor
2703SCMDPhysical Rehabilitation Occupational Therapist
25MP00081300NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Aug 1, 2017 Accepting new patients
Carolina Family Care, Inc CurrentSince May 1, 2019 Accepting new patients
Carolina Family Care, Inc CurrentSince May 1, 2019 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Geisinger Clinic CurrentSince Aug 1, 2017 Accepting new patients
Palmetto Medical Group, PLLC CurrentSince Jul 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Jan 30, 2022 Accepting new patients
Orthopaedic Institute of Central Jersey Past Accepting new patients
Jersey Emergency Medical Associates LLC Past Accepting new patients
Orthopaedic Institute of Central Jersey Past Accepting new patients
Emergency Medical Associates of New Jersey PA PastSince May 10, 2020 Accepting new patients
St Josephs Medical PC Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

1040 Edgewater Corporate Pkwy
Ste 101
Indian Land, SC 29707
Phone (803) 548-7007

1341 Old Georgetown Rd
Ste C
Mt Pleasant, SC 29464
Phone (843) 884-2175

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1437363314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603898",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603898",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 WEST MAIN STREET",
            "city": "LANCASTER",
            "state": "SC",
            "postal_code": "29720",
            "telephone_number": "032-858-7008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "BLENDA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-09",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "2703",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00081300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lancaster, SC

Sources for this page

Verify at the official NPI Registry.