Active NPI
David C Ruck, M.D.
- Child & Adolescent Psychiatry Physician
- Pinehurst, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- 9401323
- Practice address
- 35 Memorial Dr
Pinehurst, NC 28374-8708 - Phone
- (910) 715-3371
- Fax
- (910) 715-2435
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 9401323 | NC | Primary |
Addresses
Primary practice location
35 Memorial Dr
Pinehurst, NC 28374-8708
Mailing address
PO Box 843425
Boston, MA 02284-3425
Phone (910) 715-3371
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891199E | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Duke University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Memorial Dr
Pinehurst, NC 28374-8710
35 Memorial Dr
Pinehurst, NC 28374-8708
Phone (910) 715-3376
Hospital & facility affiliations
- Firsthealth Moore Regional Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Caromont Medical Group Inc | Current | Accepting new patients | |
| Caromont Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Caromont Medical Group Inc | Psychiatry | Current | Accepting new patients |
| MCPC-11, LLC | Current | Accepting new patients | |
| Carolina Behavioral Care, P.a. | Psychiatry | Past | Accepting new patients |
| Firsthealth of the Carolinas, Inc | Past | Accepting new patients | |
| Carolina Behavioral Care | Past | Accepting new patients |
Locations
2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662
46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782
155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000
35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376
925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000
520 Allen St
Troy, NC 27371
Phone (910) 571-5000
Interoperability endpoints
- druck13212@firsthealth.direct-ci.net
Organizations & group practices 7
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.
-
- Adult Mental Health Clinic/Center
- Pinehurst, NC
- NPI 1841635455
-
- Psychiatry Physician
- Gastonia, NC
- NPI 1629197744
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Clinical Psychologist
- Rockingham, NC
- NPI 1245391036
-
- Psychiatry Physician
- Apex, NC
- NPI 1932821303
-
- Psychiatric Hospital Unit
- Pinehurst, NC
- NPI 1437228939
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Obesity Medicine (Internal Medicine) Physician
- Pinehurst, NC
- NPI 1740463967
Hospital
-
- General Acute Care Hospital
- Pinehurst, NC
- NPI 1740208081
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378166400000",
"number": "1881635902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843425",
"city": "BOSTON",
"state": "MA",
"postal_code": "022843425",
"telephone_number": "910-715-3371",
"fax_number": "910-715-2435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748708",
"telephone_number": "910-715-3371",
"fax_number": "910-715-2435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUCK",
"first_name": "DAVID",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2013-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "9401323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891199E",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.