Active NPI
Jamie Lynn Rucker, M.D.
- Anesthesiology Physician
- Bowling Green, KY
National Provider Identifier
1578760625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- TP220
- Practice address
- 350 Park St
Suite 203B
Bowling Green, KY 42101-1784 - Phone
- (270) 393-1912
- Fax
- (270) 393-1913
- NPI assigned
- Jul 2, 2007
- Last updated
- Dec 2, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | TP220 | KY | Primary |
Addresses
Primary practice location
350 Park St
Suite 203B
Bowling Green, KY 42101-1784
Mailing address
350 Park St
Suite 203B
Bowling Green, KY 42101-1784
Phone (270) 393-1912
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia & Pain Specialists of Bowling Green PLC | Anesthesiology | Past | Accepting new patients |
| Interventional Pain Specialists of Bowling Green PLC | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Bowling Green, KY
- NPI 1548253107
-
dba Interventional Pain Specialists
- Pain Medicine (Anesthesiology) Physician
- Bowling Green, KY
- NPI 1871952630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385942400000",
"number": "1578760625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 PARK ST",
"address_2": "SUITE 203B",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011784",
"telephone_number": "270-393-1912",
"fax_number": "270-393-1913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PARK ST",
"address_2": "SUITE 203B",
"city": "BOWLING GREEN",
"state": "KY",
"postal_code": "421011784",
"telephone_number": "270-393-1912",
"fax_number": "270-393-1913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCKER",
"first_name": "JAMIE",
"middle_name": "LYNN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-02",
"last_updated": "2013-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "KY",
"license": "TP220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.