Organization Active NPI

John David Ruffier

  • Oxygen Equipment & Supplies (DME)
  • El Paso, TX
National Provider Identifier
1952487415
Registry record updated Jun 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
TXD 0013436 Issued in TX
Legal business name
JOHN DAVID RUFFIER
Practice address
11601 Pellicano Dr Ste B10
El Paso, TX 79936-6055
Phone
(915) 593-5588
Fax
(915) 593-5522
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2008

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

Authorized official

Name
Mr. John David Ruffier
Title
Owner
Phone
(915) 593-5588

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X TXD 0013436 TX Primary

Addresses

Primary practice location

11601 Pellicano Dr Ste B10
El Paso, TX 79936-6055

Mailing address

11601 Pellicano Dr Ste B10
El Paso, TX 79936-6055
Phone (915) 593-5588

Other identifiers 3

IdentifierTypeStateIssuer
531278OtherTXBLUE CROSS BLUE SHIELD
150736001MedicaidTX
150737801MedicaidTX

Other names 1

  • EL PASO DURABLE MEDICAL SUPPLY Doing business as

National Provider Directory

National Provider Directory

Locations

11601 Pellicano Dr
Ste B10
El Paso, TX 79936
Phone (915) 593-5588

NPI Registry JSON

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1952487415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11601 PELLICANO DR STE B10",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366055",
            "telephone_number": "915-593-5588",
            "fax_number": "915-593-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11601 PELLICANO DR STE B10",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799366055",
            "telephone_number": "915-593-5588",
            "fax_number": "915-593-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN DAVID RUFFIER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "RUFFIER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-593-5588",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": "TXD 0013436",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "531278",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150736001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "150737801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EL PASO DURABLE MEDICAL SUPPLY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Paso, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.