Individual provider Active NPI

Frank A. Ruisi, MD

  • Emergency Medicine Physician
  • Zephyrhills, FL
National Provider Identifier
1548203581
Registry record updated Aug 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME40637 Issued in FL
Practice address
7050 Gall Blvd
Zephyrhills, FL 33541-1347
Phone
(813) 788-0411
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME40637 FL Primary

Addresses

Primary practice location

7050 Gall Blvd
Zephyrhills, FL 33541-1347

Mailing address

1128 Livingston Rd
Lutz, FL 33559-6972
Phone (813) 949-6846

Other identifiers 1

IdentifierTypeStateIssuer
069679000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050517000032 FL Practitioner - Emergency Medicine 9931140357 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME40637FLMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thse - Marco Urgent Care LLC CurrentSince Mar 1, 2018 Accepting new patients
Capri Emergency Physicians Emergency Medicine Past Accepting new patients
Baxley Emergency Physicians LLC Emergency Medicine Past Accepting new patients
West Florida Trauma Network, LLC Past Accepting new patients
East Pasco Emergency Consultant Emergency Medicine Past Accepting new patients
Community Hospital Family Practice LLC Past Accepting new patients

Locations

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

14050 NW 14th St
Ste 190
Sunrise, FL 33323
Phone (954) 424-3672

Organizations & group practices 6

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186704000000",
    "number": "1548203581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 LIVINGSTON RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596972",
            "telephone_number": "813-949-6846",
            "fax_number": "813-949-0542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 GALL BLVD",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335411347",
            "telephone_number": "813-788-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUISI",
        "first_name": "FRANK",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME40637",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "069679000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.