Organization Active NPI

Virginia Rutz DO PLLC

  • Family Medicine Physician
  • Kearny, AZ
National Provider Identifier
1841245909
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3090 Issued in AZ
Legal business name
VIRGINIA RUTZ DO PLLC
Practice address
100 Tilbury
Kearny, AZ 85237
Phone
(520) 363-5573
Fax
(520) 363-5611
NPI assigned
May 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Mulcahy, RN, MBA, BSN
Title
Administrator
Phone
(480) 357-3904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3090 AZ Primary

Addresses

Primary practice location

100 Tilbury
Kearny, AZ 85237

Mailing address

PO Box 369
Kearny, AZ 85237-0369
Phone (520) 363-5573

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841245909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 369",
            "city": "KEARNY",
            "state": "AZ",
            "postal_code": "852370369",
            "telephone_number": "520-363-5573",
            "fax_number": "520-363-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 TILBURY",
            "city": "KEARNY",
            "state": "AZ",
            "postal_code": "85237",
            "telephone_number": "520-363-5573",
            "fax_number": "520-363-5611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA RUTZ DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MULCAHY",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-357-3904",
        "authorized_official_credential": "RN, MBA, BSN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "3090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.