Andrew J Ruden

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

4301040917 Issued in MI

Practice address

29600 S Wixom Rd
Wixom, MI 48393-3430

Phone

(248) 926-8459

Fax

(248) 926-1310

NPI assigned

Apr 10, 2007

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

Enrolled in MI

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/20203/brand/1/csg/1/fhir/r4

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.

• Institute of Supportive Services, Inc.

  • Methadone Clinic
  • Detroit, MI
  • NPI 1346613403
  Medicare reassignment NPD
• Metropolitan Rehabilitation Clinics, Inc.

  dba Metro Recovery Center

  • Methadone Clinic
  • Oak Park, MI
  • NPI 1811020035
  Medicare reassignment NPD
• Associated Medical Inc

  dba Associated Chiropractic and Medical Center

  • Chiropractor
  • Southfield, MI
  • NPI 1457644163
  NPD (past)
• First Choice Medical Group PLLC

  • Primary Care Clinic/Center
  • Dearborn, MI
  • NPI 1750769394
  NPD (past)
• First Choice Urgent Care PC

  • Urgent Care Clinic/Center
  • Dearborn, MI
  • NPI 1629201264

  General Practice

  NPD (past)
• Integrated Health Group, P.C.

  dba Michigan Institute of Pain Management

  • Pain Clinic/Center
  • Dearborn Heights, MI
  • NPI 1508808817
  NPD (past)
• Quality Care Physicians Group

  • Emergency Medicine Physician
  • Waterford, MI
  • NPI 1114974912
  NPD (past)
• Universal Health Group, Inc

  dba Saginaw Spine and Pain

  • Internal Medicine Physician
  • Saginaw, MI
  • NPI 1245508811
  NPD (past)
• Universal Health Group, Inc.

  • Chiropractor
  • West Bloomfield, MI
  • NPI 1588832653
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1881717049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29600 S WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933430",
            "telephone_number": "248-926-8459",
            "fax_number": "248-926-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29600 S WIXOM RD",
            "city": "WIXOM",
            "state": "MI",
            "postal_code": "483933430",
            "telephone_number": "248-926-8459",
            "fax_number": "248-926-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDEN",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301040917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Responsive Visiting Physicians PLLC (Responsive Visiting Physicians)
• Rite Aid of Michigan Inc (Rite Aid Pharmacy 04300)
• Eboni Ross
• Round Trip Service LLC
• Royal 5Star Cleaning Services LLC
• April Rush
• Samantha Nikole Rybar, DC
• Jessica Marie Ryde, CTRS
• Gregory Sage
• Mavis Akose Sarpong Krampah

• General Practice Physician in Wixom, MI
• Providers in Wixom, MI by specialty
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.