Ruskin R Lines, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

26848 Issued in AZ

Practice address

1501 N Gilbert Rd
Suite 206
Gilbert, AZ 85234-2390

Phone

(480) 507-7767

Fax

(480) 507-7793

NPI assigned

Sep 22, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459209600000",
    "number": "1881680080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 N GILBERT RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852343392",
            "telephone_number": "480-507-7767",
            "fax_number": "480-507-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 N GILBERT RD",
            "address_2": "SUITE 206",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852342390",
            "telephone_number": "480-507-7767",
            "fax_number": "480-507-7793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINES",
        "first_name": "RUSKIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2016-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AZ",
            "license": "26848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "086985",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS  BLUE SHIELD",
            "identifier": "AZ0855820",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsey Benolken PLLC (Breaking OCD)
• Lindsey Reynoso, LCSW: Mental Health Counseling & Consulting PLLC (Lindsey L Reynoso)
• Jessica Liner
• Jennica Lines, NP
• Raquel Marie Lines, P.T.
• Sarah Linkletter
• Megan Linton, RBT
• Lio Mana'Olana Therapy, LLC
• Morgan Liptak, LAMFT
• Miguel De Jesus Lira, SLPA

• Specialist in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Specialist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.