Organization Active NPI

Lawrence E Ruf MD PC

  • Plastic and Reconstructive Surgery Physician
  • Pooler, GA
National Provider Identifier
1538729124
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
Legal business name
LAWRENCE E RUF MD PC
Practice address
1000 Towne Center Blvd Ste 501
Pooler, GA 31322-4061
Phone
(912) 988-1781
Fax
(912) 777-7591
NPI assigned
Jun 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Lawrence E Ruf, MD
Title
Owner
Phone
(912) 988-1781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X Primary

Addresses

Primary practice location

1000 Towne Center Blvd Ste 501
Pooler, GA 31322-4061

Mailing address

1000 Towne Center Blvd Ste 501
Pooler, GA 31322-4061
Phone (912) 988-1781

Other identifiers 1

IdentifierTypeStateIssuer
000200329EMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address staff@poolerplasticsurgery.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1538729124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 501",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224061",
            "telephone_number": "912-988-1781",
            "fax_number": "912-777-7591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 TOWNE CENTER BLVD STE 501",
            "city": "POOLER",
            "state": "GA",
            "postal_code": "313224061",
            "telephone_number": "912-988-1781",
            "fax_number": "912-777-7591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE E RUF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "RUF",
        "authorized_official_first_name": "LAWRENCE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-988-1781",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000200329E",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "staff@poolerplasticsurgery.com",
            "affiliation": "N",
            "address_1": "1000 Towne Center Blvd Ste 501",
            "city": "Pooler",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313224061",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pooler, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.