Active NPI
Valentina Irene Ruzecki, M.D.
- Pediatrics Physician
- Puyallup, WA
National Provider Identifier
1750337150
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD00041060
- Practice address
- 11102 Sunrise Blvd E
Suite 103
Puyallup, WA 98374 - Phone
- (253) 848-8797
- Fax
- (253) 845-0100
- NPI assigned
- May 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00041060 | WA | Primary |
Addresses
Primary practice location
11102 Sunrise Blvd E
Suite 103
Puyallup, WA 98374
Mailing address
11102 Sunrise Blvd E
Suite 103
Puyallup, WA 98374
Phone (253) 848-8797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Childrens Hospital of the Kings Daughters Inc | Current | Accepting new patients | |
| Public Hospital District No. 4, King County Washington | Pediatrics | Past | Accepting new patients |
| Public Hospital District No 4, King County Wa | Pediatrics | Past | Accepting new patients |
| Pacific Palisades Podiatry PLLC | Past | Accepting new patients | |
| Public Hospital District No 4 King County Washington | Past | Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
817 Volvo Pkwy
Chesapeake, VA 23320
Phone (757) 668-4630
601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1578954590
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
-
- Foot & Ankle Surgery Podiatrist
- Federal Way, WA
- NPI 1669428934
-
- Critical Access Hospital
- Snoqualmie, WA
- NPI 1902846546
-
- Family Medicine Physician
- Snoqualmie, WA
- NPI 1144432634
Pediatrics
-
- Adult Medicine Physician
- Snoqualmie, WA
- NPI 1346280922
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1750337150",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11102 SUNRISE BLVD E",
"address_2": "SUITE 103",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98374",
"telephone_number": "253-848-8797",
"fax_number": "253-845-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11102 SUNRISE BLVD E",
"address_2": "SUITE 103",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "98374",
"telephone_number": "253-848-8797",
"fax_number": "253-845-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUZECKI",
"first_name": "VALENTINA",
"middle_name": "IRENE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-26",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00041060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Puyallup, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.