Thomas Matthew Ruffle, M.D.

Primary specialty

Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X

License

042-0009337 Issued in VT

Practice address

361 Flynn Ave
Burlington, VT 05401-5014

Phone

(802) 864-2528

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538283353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 FLYNN AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015014",
            "telephone_number": "802-864-2528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 FLYNN AVE",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054015014",
            "telephone_number": "802-864-2528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFLE",
        "first_name": "THOMAS",
        "middle_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "VT",
            "license": "042-0009337",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1005767",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Warren Rubman, M.D.
• Megan Rubman, PT
• Catherine Suzanne Rude, M.D.
• Caroline Ruess, LICSW
• Rebecca Ruess, LICSW
• Katherine Marie Ruggiero, LICSW
• Merima Ruhotina
• Rebecca Owen Ruid, PHD
• Christopher Rumer, MD
• Kelsey Rumley, DNP, FNP-C

• Developmental - Behavioral Pediatrics Physician in Burlington, VT
• Providers in Burlington, VT by specialty
• Developmental - Behavioral Pediatrics Physician in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.