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JIMMY RUIZ M.D. NPI 1265494413


NPI Information

NPI: 1265494413
Provider Name: JIMMY RUIZ, M.D.
Classification: Internal Medicine - 207RH0003X
Entity Type: Individual

Specialization: Hematology & Oncology

PECOS Registration: Yes

Address:
MEDICAL CENTER BLVD
WINSTON-SALEM, NC
ZIP 27157
Phone: (336) 716-2255
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Jimmy Ruiz, M.D. is a hematology and oncology internal medicine in Winston-salem, NC with 20 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. Jimmy Ruiz, M.D. NPI is 1265494413. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2004

The provider's business location address is:

MEDICAL CENTER BLVD
WINSTON-SALEM, NC
ZIP 27157-001
Phone: (336) 716-2255

The NPI 1265494413 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 5/4/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine2005-01963NORTH CAROLINANo
2207RH0003XInternal MedicineHematology & Oncology2005-01963NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1199209OTHERMEDCOST
23810009019MEDICAIDWEST VIRGINIA
35906698MEDICAIDNORTH CAROLINA
4145JGOTHERBCBS
52064994OTHERNORTH CAROLINAMEDICARE
6810605OTHERPARTNERS
79062063OTHERAETNA
8Q01963MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.