Active NPI
Ralph D Ruffin Sr., PRESIDENT
- Contractor
- Dinwiddie, VA
National Provider Identifier
1770853129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- License
- 2011-4346
- Practice address
- 18912 Turkey Egg Rd
Dinwiddie, VA 23841-2120 - Phone
- (804) 469-4602
- NPI assigned
- Jan 3, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Contractor | 171W00000X | 2011-4346 | VA | Primary |
Addresses
Primary practice location
18912 Turkey Egg Rd
Dinwiddie, VA 23841-2120
Mailing address
18912 Turkey Egg Rd
Dinwiddie, VA 23841-2120
Phone (804) 469-4602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011-4346 | VA | MD | Contractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325548800000",
"number": "1770853129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18912 TURKEY EGG RD",
"city": "DINWIDDIE",
"state": "VA",
"postal_code": "238412120",
"telephone_number": "804-469-4602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18912 TURKEY EGG RD",
"city": "DINWIDDIE",
"state": "VA",
"postal_code": "238412120",
"telephone_number": "804-469-4602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUFFIN",
"first_name": "RALPH",
"middle_name": "D",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "PRESIDENT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "171W00000X",
"taxonomy_group": "",
"desc": "Contractor",
"state": "VA",
"license": "2011-4346",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dinwiddie, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.