Individual provider Active NPI

Thomas Jeffrey Ruffner, SFIDC

  • Independent Duty Corpsman
  • Gulfport, MS
National Provider Identifier
1972629970
Registry record updated Jan 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Independent Duty CorpsmanTaxonomy code 1710I1002X
Practice address
5503 Marvin Shields Blvd
NHBC Gulfport
Gulfport, MS 39501-9007
Phone
(228) 871-2341
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Independent Duty Corpsman 1710I1002X Primary

Addresses

Primary practice location

5503 Marvin Shields Blvd
NHBC Gulfport
Gulfport, MS 39501-9007

Mailing address

7297 Wind Chase Dr
NMCB 133 Gulfport, Ms
Hahira, GA 31632-2299
Phone (229) 506-1022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264032000000",
    "number": "1972629970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7297 WIND CHASE DR",
            "address_2": "NMCB 133 GULFPORT, MS",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316322299",
            "telephone_number": "229-506-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 MARVIN SHIELDS BLVD",
            "address_2": "NHBC GULFPORT",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395019007",
            "telephone_number": "228-871-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUFFNER",
        "first_name": "THOMAS",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "SFIDC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2010-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulfport, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.