Paul D. Ruesch, MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

MD24663 Issued in OR

Legal business name

PAUL D. RUESCH, MD PC

Practice address

6542 SE Lake Rd
Suite 201
Milwaukie, OR 97222-2244

Phone

(503) 659-1769

Fax

(503) 659-7522

NPI assigned

Apr 12, 2007

Organization subpart

No

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

Authorized official

Name

Paul D Ruesch, M.D.NPI 1558393876

Title

Physician

Phone

(503) 659-1769

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paul D Ruesch, M.D.

  • Orthopaedic Surgery Physician
  • Clackamas, OR
  • NPI 1558393876
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1881818805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD",
            "address_2": "SUITE 201",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222244",
            "telephone_number": "503-659-1769",
            "fax_number": "503-659-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6542 SE LAKE RD",
            "address_2": "SUITE 201",
            "city": "MILWAUKIE",
            "state": "OR",
            "postal_code": "972222244",
            "telephone_number": "503-659-1769",
            "fax_number": "503-659-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL D. RUESCH, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "RUESCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "503-659-1769",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD24663",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "OR",
            "license": "MD24663",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dianne Marie Paul
• Timothy Pavlatos, M.S.
• Merci Siah Paye, PTA
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• Karen Lynn Peasley, COTA

• Orthopaedic Surgery Physician in Milwaukie, OR
• Providers in Milwaukie, OR by specialty
• Orthopaedic Surgery Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.