Individual provider Active NPI

Donald Ruch, CRNA

  • Certified Registered Nurse Anesthetist
  • Hartwell, GA
National Provider Identifier
1871575191
Registry record updated Mar 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
RN126254 Issued in GA
Practice address
93 Tree LN
Hartwell, GA 30643-9231
Phone
(706) 376-3686
NPI assigned
Nov 14, 2005
Last updated
Mar 4, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3192 CA
Certified Registered Nurse Anesthetist 367500000X RN126254 GA Primary

Addresses

Primary practice location

93 Tree LN
Hartwell, GA 30643-9231

Mailing address

93 Tree LN
Hartwell, GA 30643-9231
Phone (706) 376-3686

Other identifiers 2

IdentifierTypeStateIssuer
283726614BMedicaidGA
283726614AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090519000594 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 5890894687 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Georgia Anesthesia PCGroup PAC ID 6901331339, 24 clinicians

Practice addresses (Care Compare)

367 Clear Creek Pkwy
Lavonia, GA 30553-4173
Phone (706) 356-7800

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
3192CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Ingram Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Aug 1, 2009 Accepting new patients
Vituity-Georgia Anesthesia PC CurrentSince Sep 1, 2024 Accepting new patients
Vituity-Georgia Anesthesia PC CurrentSince Sep 1, 2024 Accepting new patients
Aaoc Anesthesia LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2012 Accepting new patients
Medstream Anesthesia PLLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2018 Accepting new patients
Cobb Enterprises LLC Nurse Anesthetist, Certified Registered CurrentSince Mar 1, 2009 Accepting new patients
Clinical Colleagues LLC Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2015 Accepting new patients
Sleep and Sinus Centers ASC, LLC Past Accepting new patients
MMC of Nevada LLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

2100 North Ave
Columbus, GA 31904
Phone (706) 243-0624

70 Medical Center Dr
Commerce, GA 30529
Phone (706) 335-1000

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

367 Clear Creek Pkwy
Lavonia, GA 30553
Phone (706) 356-1072

771 Old Norcross Rd
Ste 135
Lawrenceville, GA 30046

610 Sparta Rd
Sandersville, GA 31082
Phone (478) 240-2000

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIHJBA

Organizations & group practices 9

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362355200000",
    "number": "1871575191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 TREE LN",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306439231",
            "telephone_number": "706-376-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 TREE LN",
            "city": "HARTWELL",
            "state": "GA",
            "postal_code": "306439231",
            "telephone_number": "706-376-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUCH",
        "first_name": "DONALD",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2013-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3192",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "GA",
            "license": "RN126254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283726614B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283726614A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartwell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.