Individual provider Active NPI

Ruth F Quarles, M.D.

  • Family Medicine Physician
  • Cortland, OH
National Provider Identifier
1508892811
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35049709 Issued in OH
Practice address
2600 State Route 5
Cortland, OH 44410-9393
Phone
(330) 372-8800
Fax
(330) 372-8999
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35049709 OH Primary

Addresses

Primary practice location

2600 State Route 5
Cortland, OH 44410-9393

Mailing address

2600 State Route 5
Cortland, OH 44410-9393
Phone (330) 372-8800

Other identifiers 7

IdentifierTypeStateIssuer
0531446MedicaidOH
105289OtherOHUNITED HEALTHCARE
341341025040OtherOHCARESOURCE
000000243197OtherOHANTHEM BC/BS
Q022561OtherOHHOMETOWN
78935OtherOHHEALTH ASSURANCE
J49709OtherOHSUMMACARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050310000508 OH Practitioner - Family Practice 0244284453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Meharry Medical College School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trumbull Mahoning Medical Group, Inc.Group PAC ID 3779537022, 7 clinicians

Practice addresses (Care Compare)

2600 Elm Rd NE
Cortland, OH 44410-9393
Phone (330) 372-8800

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35049709OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trumbull Mahoning Medical Group, Inc. Family Medicine Current Accepting new patients
Trumbull Mahoning Medical Group Inc Family Medicine CurrentSince Sep 1, 1991 Accepting new patients
Churchill Counseling Services, Inc PastSince Jan 26, 1996 Accepting new patients

Locations

2600 State Route 5
Cortland, OH 44410
Phone (330) 372-8800

20 Ohltown Rd
Youngstown, OH 44515
Phone (330) 797-9705

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208649600000",
    "number": "1508892811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 STATE ROUTE 5",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109393",
            "telephone_number": "330-372-8800",
            "fax_number": "330-372-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 STATE ROUTE 5",
            "city": "CORTLAND",
            "state": "OH",
            "postal_code": "444109393",
            "telephone_number": "330-372-8800",
            "fax_number": "330-372-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARLES",
        "first_name": "RUTH",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35049709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0531446",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "105289",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "341341025040",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000243197",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOMETOWN",
            "identifier": "Q022561",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ASSURANCE",
            "identifier": "78935",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUMMACARE",
            "identifier": "J49709",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, OH

Sources for this page

Verify at the official NPI Registry.