Jonathan P Ruiz, CSFA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

1900 Light Rd Apt 103
Oswego, IL 60543-9013

Phone

(815) 341-2599

NPI assigned

Jan 14, 2022

Last updated

Jul 18, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Jonathan Patrick Ruiz

  dba Ruiz & Clamps Healthcare L. L. C.

  • Surgical Physician Assistant
  • Oswego, IL
  • NPI 1124749700
  NPD Authorized official
• Fred Fisher

  dba chicagoland surgical assisting llc

  • Surgical Physician Assistant
  • Warrenville, IL
  • NPI 1396879581
  NPD (past)

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689638400000",
    "number": "1871244426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 LIGHT RD APT 103",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439013",
            "telephone_number": "815-341-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 LIGHT RD APT 103",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605439013",
            "telephone_number": "815-341-2599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29W505 Cerny Cir",
            "address_purpose": "LOCATION",
            "city": "Warrenville",
            "state": "IL",
            "postal_code": "605552516",
            "country_code": "US",
            "telephone_number": "331-401-5917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2725 Technology Dr",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601485675",
            "country_code": "US",
            "telephone_number": "630-348-3300",
            "fax_number": "630-572-0418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ",
        "first_name": "JONATHAN",
        "middle_name": "P",
        "credential": "CSFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-14",
        "last_updated": "2023-07-18",
        "certification_date": "2023-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "IL",
            "license": "238000706",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassie Rose Rodriguez
• Lauren Rodriguez, MSW, LSW
• Rooted Mind & Body Wellness
• Rory Scher PC
• Melanie Rountree
• Julio Jose Ruiz, LSW
• Rush-Copley Medical Group
• Rush-Copley Medical Group, NFP
• Bradley P Russell, DPT
• Lori J Ruwe

• Surgical Physician Assistant in Oswego, IL
• Providers in Oswego, IL by specialty
• Surgical Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2023; 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.