NPIMap

Individual provider Active NPI

Ruth Lavone Ebangit, MD

  • Family Medicine Physician
  • Haskell, TX
National Provider Identifier
1902198880
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q0430 Issued in TX
Practice address
1 North Ave N
Haskell, TX 79521
Phone
(940) 864-8513
NPI assigned
May 10, 2011
Last updated
Nov 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Q0430 TX Primary

Addresses

Primary practice location

1 North Ave N
Haskell, TX 79521

Mailing address

P.O. Box 1117
Haskell, TX 79521
Phone (940) 864-2779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141002001033 TX Practitioner - Family Practice 2860612454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knox County Hospital DistrictGroup PAC ID 5294643185, shared by 7 NPIs, 7 clinicians

Practice addresses (Care Compare)

120 E D St
Munday, TX 76371-1961
Phone (940) 422-5271

712 SE 5TH St
Knox City, TX 79529-2105
Phone (940) 657-3906

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Haskell County Hospital CurrentSince Aug 1, 2014 Accepting new patients
Knox County Hospital District CurrentSince Nov 7, 2023 Accepting new patients
Haskell County Hospital CurrentSince Aug 1, 2014 Accepting new patients
Knox County Hospital District CurrentSince Nov 7, 2023 Accepting new patients
Knox County Hospital District Past Accepting new patients
Knox County Hospital District Past Accepting new patients
Knox County Hospital Past Accepting new patients

Locations

1 Avenue N
Haskell, TX 79521
Phone (940) 228-4321

701 SE 5th St
Knox City, TX 79529
Phone (940) 657-3535

711 SE 5th St
Knox City, TX 79529
Phone (940) 657-3535

712 SE 5th St
Knox City, TX 79529
Phone (940) 657-3906

120 E D St
Munday, TX 76371
Phone (940) 422-5271

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1304985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1902198880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1117",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "79521",
            "telephone_number": "940-864-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTH AVE N",
            "city": "HASKELL",
            "state": "TX",
            "postal_code": "79521",
            "telephone_number": "940-864-8513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBANGIT",
        "first_name": "RUTH",
        "middle_name": "LAVONE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-10",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q0430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Haskell, TX

Sources for this page

Verify at the official NPI Registry.