Allen Ruan, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

S3866 Issued in TX

Practice address

6684 W Adams Ave
Temple, TX 76502-5632

Phone

(254) 899-4200

Fax

(254) 899-4205

NPI assigned

May 10, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ye Ruan Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1306820923
  Medicare reassignment NPD
• Boulder Medical Center, P.C.

  • Urgent Care Clinic/Center
  • Boulder, CO
  • NPI 1114886587
  NPD
• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Longmont, CO
  • NPI 1144853904
  NPD
• Boulder Medical Center, P.C.

  • Multi-Specialty Clinic/Center
  • Boulder, CO
  • NPI 1174156939
  NPD (past)
• Medical Center Pharmacy Inc

  • Community/Retail Pharmacy
  • Salt Lake City, UT
  • NPI 1861495160
  NPD (past)

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

{
    "created_epoch": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1689100711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6684 W ADAMS AVE",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765025632",
            "telephone_number": "254-899-4200",
            "fax_number": "254-899-4205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUAN",
        "first_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-10",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "S3866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YE",
            "last_name": "RUAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Louise Roy-Jolly, LPC
• Alonda Royal
• Nicole Tessa Royals
• Celia A Rozell, RD
• Cheri Faith Rozycki, CRNA
• Vicky Renea Ruby, RN
• Amy Brawner Ruddell, M.S., CCC-SLP
• Mohan Rudrappa, MD
• Shelby Arline Ruggles
• Ernesto Anibal Ruiz Duque, MD

• Pediatrics Physician in Temple, TX
• Providers in Temple, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.