Anita Ruffino Hancock, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD211746 Issued in OR

Practice address

610 NW 11TH St Ste E33
Hermiston, OR 97838-6601

Phone

(541) 667-3740

Fax

(541) 303-8743

NPI assigned

Jan 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1209

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Good Shepherd Health Care System

  • Critical Access Hospital
  • Hermiston, OR
  • NPI 1295789667
  NPD (past)
• Good Shepherd Health Care System

  • Pediatrics Physician
  • Hermiston, OR
  • NPI 1336198159
  NPD (past)
• Pediatric Specialists of Pendleton, LLC

  • Clinic/Center
  • Pendleton, OR
  • NPI 1689739310
  NPD (past)
• Pediatric Specialists of Pendleton, LLC

  • Rural Health Clinic/Center
  • Pendleton, OR
  • NPI 1952630576
  NPD (past)

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1487634408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 NW 11TH ST STE M102",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386941",
            "telephone_number": "541-667-3740",
            "fax_number": "541-303-8743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NW 11TH ST STE E33",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978386601",
            "telephone_number": "541-667-3740",
            "fax_number": "541-303-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "ANITA",
        "middle_name": "RUFFINO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "R3N75",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OR",
            "license": "MD211746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500809480",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "209982214",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dina Halaby
• Michael Andrew Hall, RD
• Zane Hall, PHARMD
• James Keith Hamilton, DMD
• Gene S Hammer III, PHARMD
• Janice L Hancock, LMFT
• Timothy Jedidiah Handforth, QMHP
• Phyllis Leppke Hansell, FNP-C
• Robert Hanson, M.D.
• Mohamad Hariri, DDS

• Pediatrics Physician in Hermiston, OR
• Providers in Hermiston, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.