Garren C Ruggaber, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

6211 Issued in ND

Practice address

1191 S Columbia Rd
Grand Forks, ND 58201-4033

Phone

(651) 292-2009

Fax

(651) 292-2178

NPI assigned

Oct 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1841388089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 4TH ST E",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551011421",
            "telephone_number": "651-292-2009",
            "fax_number": "651-292-2178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 S COLUMBIA RD",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582014033",
            "telephone_number": "651-292-2009",
            "fax_number": "651-292-2178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGGABER",
        "first_name": "GARREN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ND",
            "license": "6211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Roue
• Leslie A Rowan, PH.D.
• Lacy Rozowski
• Mary Rubbert, OTR/L
• Alexis Rudnik, MD
• Alexandra Rumple, SLP
• Run Your Life LLC
• Ann Russell, LAMFT
• Matthew David Russell, ABA
• Rachel N Russell, CRDH

• Diagnostic Radiology Physician in Grand Forks, ND
• Providers in Grand Forks, ND by specialty
• Diagnostic Radiology Physician in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.