Active NPI
Carole Suzanne Ruegsegger, M.D.
- Internal Medicine Physician
- Wasilla, AK
National Provider Identifier
1841405883
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A45330
- Practice address
- 3750 E Country Field Cir
Unit B
Wasilla, AK 99654-6689 - Phone
- (907) 357-7240
- Fax
- (907) 357-7241
- NPI assigned
- May 12, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A45330 | CA | Primary |
Addresses
Primary practice location
3750 E Country Field Cir
Unit B
Wasilla, AK 99654-6689
Mailing address
3750 E Country Field Cir
Unit B
Wasilla, AK 99654-6689
Phone (907) 357-7240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A45330 | Other | CA | MEDICAL LICENSE |
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A45330 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841405883",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 E COUNTRY FIELD CIR",
"address_2": "UNIT B",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546689",
"telephone_number": "907-357-7240",
"fax_number": "907-357-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 E COUNTRY FIELD CIR",
"address_2": "UNIT B",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546689",
"telephone_number": "907-357-7240",
"fax_number": "907-357-7241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUEGSEGGER",
"first_name": "CAROLE",
"middle_name": "SUZANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A45330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A45330",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.