Organization Active NPI

H Rex Ruettinger D O P C

  • Internal Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1760501563
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101009296 Issued in MI
Legal business name
H REX RUETTINGER D O P C
Practice address
8623 N Telegraph Rd
Suite #1
Dearborn Heights, MI 48127-1489
Phone
(313) 561-4540
Fax
(313) 561-9515
NPI assigned
Mar 29, 2007
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Mrs. Lisa R Ruettinger, R.N.
Title
Office Manager
Phone
(313) 561-4540

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 5101009296 MI Primary

Addresses

Primary practice location

8623 N Telegraph Rd
Suite #1
Dearborn Heights, MI 48127-1489

Mailing address

8623 N Telegraph Rd
Suite #1
Dearborn Heights, MI 48127-1489
Phone (313) 561-4540

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1760501563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 N TELEGRAPH RD",
            "address_2": "SUITE #1",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271489",
            "telephone_number": "313-561-4540",
            "fax_number": "313-561-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 N TELEGRAPH RD",
            "address_2": "SUITE #1",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271489",
            "telephone_number": "313-561-4540",
            "fax_number": "313-561-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H REX RUETTINGER D O P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "RUETTINGER",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "313-561-4540",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101009296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.