Gary Ruesch, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

200595-4405 Issued in UT

Practice address

7321 11TH St
Hill AFB
Salt Lake City, UT 84056-5012

Phone

(801) 777-7109

Fax

(801) 775-3039

NPI assigned

Oct 24, 2005

Sex

Male

Sole proprietor

No

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)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Wasatch Pediatrics, Inc

  • Pediatrics Physician
  • West Jordan, UT
  • NPI 1124102595
  NPD (past)

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851381628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7321 11TH ST",
            "address_2": "HILL AFB",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "840565012",
            "telephone_number": "801-777-7109",
            "fax_number": "801-775-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 11TH ST",
            "address_2": "HILL AFB",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "840565012",
            "telephone_number": "801-777-7109",
            "fax_number": "801-775-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUESCH",
        "first_name": "GARY",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "UT",
            "license": "200595-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lou Rudolf, MD
• Charles Ruebelmann, FNP-C, APRN
• Ruediger Tillmann DDS
• Kristin Ruekert
• Daniel Patrick Ruesch, PA-C
• Christina R. Rufener, MD
• Margaret Lisa Ruff, R.N.
• Rodolphe Ruffy, M.D.
• Paulina Rugart, MD
• Gregory Allen Rugg, M.ED

• Pediatric Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Pediatric Nurse Practitioner in Utah

• 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.

Verify at the official NPI Registry.