Active NPI
Richard John Ruskin, MD
- Pain Medicine (Anesthesiology) Physician
- Mesa, AZ
National Provider Identifier
1447274477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 15462
- Practice address
- 6309 E Baywood Ave
Mesa, AZ 85206-1744 - Phone
- (480) 325-3801
- Fax
- (480) 325-3805
- NPI assigned
- Jul 26, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 15462 | AZ | Primary |
| Pain Medicine Physician | 208VP0000X | 15462 | AZ | |
| Interventional Pain Medicine Physician | 208VP0014X | 15462 | AZ |
Addresses
Primary practice location
6309 E Baywood Ave
Mesa, AZ 85206-1744
Mailing address
PO Box 13550
Mesa, AZ 85216-3550
Phone (480) 325-3801
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 Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338336000000",
"number": "1447274477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13550",
"city": "MESA",
"state": "AZ",
"postal_code": "852163550",
"telephone_number": "480-325-3801",
"fax_number": "480-325-3805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6309 E BAYWOOD AVE",
"city": "MESA",
"state": "AZ",
"postal_code": "852061744",
"telephone_number": "480-325-3801",
"fax_number": "480-325-3805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSKIN",
"first_name": "RICHARD",
"middle_name": "JOHN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-26",
"last_updated": "2012-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "AZ",
"license": "15462",
"primary": true
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "AZ",
"license": "15462",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "AZ",
"license": "15462",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.