Willard D Ruth, DO

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

108855 Issued in NY

Practice address

1870 Whitehaven Rd
Grand Island, NY 14072-1804

Phone

(716) 773-6181

Fax

(716) 773-0941

NPI assigned

Oct 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992898019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 WHITEHAVEN RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721804",
            "telephone_number": "716-773-6181",
            "fax_number": "716-773-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 WHITEHAVEN RD",
            "city": "GRAND ISLAND",
            "state": "NY",
            "postal_code": "140721804",
            "telephone_number": "716-773-6181",
            "fax_number": "716-773-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTH",
        "first_name": "WILLARD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "108855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHA",
            "identifier": "6400427",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010152701",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00050366101",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00629290",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Riverwood Health Care Center, Inc.
• Amanda Rose Rizek
• Theresa Ruge, LCSW
• Ferdinand George Ruocco, D.D.S.
• Irma Katie Ruth, CSWR
• Makayla Sargent
• Ryan Saucier
• Tricia Elise Sauer, CERT. DIETITIAN-NUTR
• Louis A Scarpello, PHARM.D
• Kristen Schimley Toscano

• General Practice Physician in Grand Island, NY
• Providers in Grand Island, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.