Arturo Natada Ruanto, M.D.
Individual provider Active NPI Family Medicine Physician · Ocilla, GA
NPI 1508979964 · NPPES record last updated Sep 25, 2009
Key facts
- NPI
- 1508979964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 052819 (GA)
- Practice address
- 202 South Cherry St.
Ocilla, GA 31774 - Phone
- (229) 468-5015
- Fax
- (229) 468-5018
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13102 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doolittle Emergency Physicians LLC | Past | Accepting new patients | |
| Cumberland River Hospital Inc | Family Medicine | Past | Accepting new patients |
| Dr. Ruanto'S Clinic | Past |
Accepting new patients | |
| Murray Medical Center, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 13102 | TN | |
| Family Medicine Physician | 207Q00000X | 052819 | GA | Yes |
Addresses
Primary practice location
202 South Cherry St.
Ocilla, GA 31774
Mailing address
202 South Cherry St.
Ocilla, GA 31774
Phone (229) 468-5015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4105211 | Medicaid | TN |
Other names
- Dr. Arturo Natada Ruanto
Other providers in Ocilla, GA
- John D Price
- Pruitthealth - Ocilla, LLC
- Caleb Patrick Ray
- Robert Juran Ray
- Amy Robinson
- Ashfaq Saiyed
- South Central Primary Care Center, Inc
- South Central Primary Care Center, Inc
- South Central Primary Care Center, Inc
- South Central Primary Care Center, Inc
All providers in Ocilla, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.