Ruth D Martin-Pisarcik, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD019904E Issued in PA

Practice address

311 N Second St
Apollo, PA 15613-1330

Phone

(724) 478-3766

Fax

(724) 478-3767

NPI assigned

Nov 28, 2006

Last updated

Apr 5, 2011By the provider in NPPES

Sex

Female

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 1

Other names 1

• Ruth D Martin Professional name

Medicare fee-for-service enrollment

Enrolled in PA

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

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301961600000",
    "number": "1902972292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N SECOND ST",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156131330",
            "telephone_number": "724-478-3766",
            "fax_number": "724-478-3767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N SECOND ST",
            "city": "APOLLO",
            "state": "PA",
            "postal_code": "156131330",
            "telephone_number": "724-478-3766",
            "fax_number": "724-478-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTIN-PISARCIK",
        "first_name": "RUTH",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD019904E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00657104",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUTH",
            "last_name": "MARTIN",
            "middle_name": "D",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Family Medicine Physician in Apollo, PA
• Providers in Apollo, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2011; 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.