Edward Ruiz, M.D., P.C.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

4301061025 Issued in MI

Legal business name

EDWARD RUIZ, M.D., P.C.

Practice address

51850 Dequindre Rd
Suite 5
Shelby Township, MI 48316-2806

Phone

(248) 651-1010

Fax

(586) 997-4279

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Edward Ruiz, M.D.NPI 1487610721

Title

President/Owner

Phone

(248) 651-1010

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edward Ruiz, MD

  • Dermatology Physician
  • Shelby Township, MI
  • NPI 1487610721
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1588834840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80856",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483080856",
            "telephone_number": "248-651-1010",
            "fax_number": "586-997-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51850 DEQUINDRE RD",
            "address_2": "SUITE 5",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483162806",
            "telephone_number": "248-651-1010",
            "fax_number": "586-997-4279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD RUIZ, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "RUIZ",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "248-651-1010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301061025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4327804",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Dermatology Physician in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Dermatology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.