Patrick J Ruddy, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

ME67160 Issued in FL

Practice address

325 Avenue 'B', NW
Winter Haven, FL 33881-4651

Phone

(863) 291-4000

NPI assigned

Jun 1, 2006

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 identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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.

• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012
  Medicare reassignment NPD
• Fleming Island Anesthesia LLC

  • Anesthesiology Physician
  • Orange Park, FL
  • NPI 1487945895
  Medicare reassignment NPD
• Mobile Anesthesia Associates LLC

  • Pain Medicine (Anesthesiology) Physician
  • Stuart, FL
  • NPI 1295776243
  Medicare reassignment NPD
• Baptist Surgery and Endoscopy Centers LLC

  • Ambulatory Surgical Clinic/Center
  • West Palm Beach, FL
  • NPI 1407227358
  NPD

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282089600000",
    "number": "1770520538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 917110",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328917110",
            "telephone_number": "800-901-2102",
            "fax_number": "423-892-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 AVENUE 'B', NW",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338814651",
            "telephone_number": "863-291-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDDY",
        "first_name": "PATRICK",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-01",
        "last_updated": "2010-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME67160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FL",
            "identifier": "26262",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376422200",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "50056275",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/CHAMPUS",
            "identifier": "SSN",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Royal Palm Orthopedic & Sports Medicine Institute LLC
• Jacqueline Royster
• Tiffany Marie Rubio, CNM/ARNP
• Patricia Rucki
• Carli Ruckman, O.D.
• Kevin Ruhland
• Isabel Marie Ruiz Olivo, DC
• Erika Ruiz Rosario
• Kaeanna Allana Runcie, PHARMD
• Kristin Annmarie Rushing, AU.D

• Anesthesiology Physician in Winter Haven, FL
• Providers in Winter Haven, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2010; 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.