Active NPI
Theodore Ruel, M.D.
- Neurology Physician
- Keene, NH
National Provider Identifier
1669406146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 8566
- Practice address
- 590 Court St
Keene, NH 03431-1719 - Phone
- (603) 354-5400
- NPI assigned
- Jul 10, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 8566 | NH | Primary |
| Neurology Physician | 2084N0400X | G39466 | CA | |
| Neurology Physician | 2084N0400X | 42-8834 | VT |
Addresses
Primary practice location
590 Court St
Keene, NH 03431-1719
Mailing address
590 Court St
Keene, NH 03431-1719
Phone (603) 354-5400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004683 | Medicaid | NH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G39466 | CA | MD | Neurology Physician |
| 8566 | NH | MD | Neurology Physician |
| 42-8834 | VT | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333929600000",
"number": "1669406146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "590 COURT ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034311719",
"telephone_number": "603-354-5400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "590 COURT ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034311719",
"telephone_number": "603-354-5400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEL",
"first_name": "THEODORE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2012-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NH",
"license": "8566",
"primary": true
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CA",
"license": "G39466",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "VT",
"license": "42-8834",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30004683",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.