Gary S Ruoff DO PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

5101013402 Issued in MI

Legal business name

GARY S RUOFF DO PC

Practice address

201 S Garfield Ave
Traverse City, MI 49686-2960

Phone

(231) 935-0580

Fax

(231) 935-0584

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Gary S Ruoff, D.O.NPI 1073608568

Title

Physician

Phone

(231) 935-0580

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/FEAFBA

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary Stephen Ruoff, D.O.

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1073608568
  Medicare reassignment Care Compare group NPD Authorized official
• Teri Augusta Brady, FNP-BC

  • Family Nurse Practitioner
  • Traverse City, MI
  • NPI 1942616222
  Medicare reassignment Care Compare group NPD
• Thomas R Bannow, D.O.

  • Family Medicine Physician
  • Traverse City, MI
  • NPI 1932171857
  NPD (past)

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1770758062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862960",
            "telephone_number": "231-935-0580",
            "fax_number": "231-935-0584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S GARFIELD AVE",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496862960",
            "telephone_number": "231-935-0580",
            "fax_number": "231-935-0584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY S RUOFF DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "RUOFF",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "231-935-0580",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101013402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4321711",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "H13875",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark McKelvy Garner, PH.D.
• Sandra Garnett
• Joseph L Garrity, LMSW - CAC - 1
• Patrick Thomas Gartland, M.D.
• Sara Sue Gartland
• Alexis Margaret Gasior, DPT
• Karol Peter Gasior, DPT
• Gaston Family Chiropractic LLC
• Robert William Gaston, D.C.
• Kylee Gatzke, FNP

• Family Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Family Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.