Organization Active NPI

Walter R. Ruf,MD,Inc

  • Surgery Physician
  • Copley, OH
National Provider Identifier
1609891480
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35-02-9165R Issued in OH
Legal business name
WALTER R. RUF,MD,INC
Practice address
3744 Fairway Park Dr
203
Copley, OH 44321-3109
Phone
(330) 666-3238
Fax
(330) 668-3014
NPI assigned
Jul 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Walter R Rufm.D., M.D.P
Title
President
Phone
(330) 666-3238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 35-02-9165R OH Primary

Addresses

Primary practice location

3744 Fairway Park Dr
203
Copley, OH 44321-3109

Mailing address

3744 Fairway Park Dr
203
Copley, OH 44321-3109
Phone (330) 666-3238

Other identifiers 2

IdentifierTypeStateIssuer
0111471MedicaidOH
RU0364421OtherOHPIN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609891480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 FAIRWAY PARK DR",
            "address_2": "203",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443213109",
            "telephone_number": "330-666-3238",
            "fax_number": "330-668-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3744 FAIRWAY PARK DR",
            "address_2": "203",
            "city": "COPLEY",
            "state": "OH",
            "postal_code": "443213109",
            "telephone_number": "330-666-3238",
            "fax_number": "330-668-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER R. RUF,MD,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUFM.D.",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-666-3238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D.P"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "OH",
            "license": "35-02-9165R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111471",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN",
            "identifier": "RU0364421",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Copley, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.