Active NPI
Steven Ruiz
- Internal Medicine Physician
- Johnson City, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- DO3606
- Practice address
- 325 N State of Franklin Rd FL 2
Johnson City, TN 37604-6092 - Phone
- (423) 439-7280
- Fax
- (423) 439-7314
- NPI assigned
- Jun 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | DO3606 | TN | Primary |
| Internal Medicine Physician | 207R00000X | 25MB10162400 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
325 N State of Franklin Rd FL 2
Johnson City, TN 37604-6092
Mailing address
PO Box 699
Mountain Home, TN 37684-0699
Phone (423) 433-6039
Other practice location 1
1505 W Sherman Ave
Vineland, NJ 08360-6912
Phone (856) 641-7675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Edward Via Col of Osteo Medicine-Virginia Campus, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 Medical Way
Snellville, GA 30078-2195
Phone (770) 736-2283
Hospital & facility affiliations
- Piedmont Eastside Medical Center
- Piedmont Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO3606 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Education Assistance Corporation | Internal Medicine | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Current | Accepting new patients | |
| Eastside Medical Center, LLC | Past | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
501 Redmond Rd NW
Rome, GA 30165
Phone (706) 291-0291
1700 Medical Way
Snellville, GA 30078
Phone (770) 978-4229
400 E State of Franklin Rd
Johnson City, TN 37601
Phone (423) 433-6200
325 N State of Franklin Rd
Fl 2
Johnson City, TN 37604
Phone (423) 439-7280
130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
-
- Internal Medicine Physician
- Johnson City, TN
- NPI 1235180480
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1467406132
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1962461681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1780098566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"city": "MOUNTAIN HOME",
"state": "TN",
"postal_code": "376840699",
"telephone_number": "423-433-6039",
"fax_number": "423-433-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 N STATE OF FRANKLIN RD FL 2",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376046092",
"telephone_number": "423-439-7280",
"fax_number": "423-439-7314"
}
],
"practiceLocations": [
{
"address_1": "1505 W Sherman Ave",
"address_purpose": "LOCATION",
"city": "Vineland",
"state": "NJ",
"postal_code": "083606912",
"country_code": "US",
"telephone_number": "856-641-7675",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUIZ",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "DO3606",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MB10162400",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.
- 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.