Active NPI
Lawrence E Ruf MD PC
- Plastic and Reconstructive Surgery Physician
- Pooler, GA
National Provider Identifier
1538729124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000200329E | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | staff@poolerplasticsurgery.com |
National Provider Directory
National Provider DirectoryNPI 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.