Lissa Diane Ruiz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA06327 Issued in TX

Practice address

7101 Williams Dr
Corpus Christi, TX 78412-4947

Phone

(361) 854-1910

NPI assigned

Jul 28, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Institute of Precision Pain Medicine PLLCGroup PAC ID 9638460330, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Institute of Precision Pain Medicine, PLLC

  • Pain Clinic/Center
  • Corpus Christi, TX
  • NPI 1184074874
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1248739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424995200000",
    "number": "1730310566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 WILLIAMS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124947",
            "telephone_number": "361-854-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 WILLIAMS DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124947",
            "telephone_number": "361-854-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "LISSA",
        "middle_name": "DIANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-28",
        "last_updated": "2015-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA06327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruiz Dental PLLC
• Allison Ruiz
• Gabriella Rose Ruiz
• Irisema Y Ruiz, MS, LCDC
• Jose Ruiz, NP
• Marie Dana Ruiz, FNP
• Martha Ruiz, LMT
• Peter Anthony Ruiz, M.D.
• Robert D Ruiz, DDS
• Shelby Lynn Rumfield

• Physician Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.