DR. JOHN DANIEL RUFF DPM NPI 1366440166

NPI Information

NPI: 1366440166
Provider Name: DR. JOHN DANIEL RUFF, DPM
Classification: Podiatrist - 213EP1101X
Entity Type: Individual

Specialization: Primary Podiatric Medicine

PECOS Registration: Yes

Address:
614 SPRING ST
PEORIA, IL
ZIP 61603
Phone: (309) 637-3668
Get Directions

DR. John Daniel Ruff, DPM is a primary podiatric medicine podiatrist in Peoria, IL. DR. John Daniel Ruff, DPM NPI is 1366440166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

614 SPRING ST
PEORIA, IL
ZIP 61603-133
Phone: (309) 637-3668
Fax: (309) 637-2325

The NPI 1366440166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/14/2005 and was last updated on 7/24/2009.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	016003701	ILLINOIS	No
2	213EP1101X	Podiatrist	Primary Podiatric Medicine	016003701	ILLINOIS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1588813133	OTHER	ILLINOIS	-ASSOCIATE RACHEL GRIEDER DPM
2	016003701	MEDICAID	ILLINOIS
3	1588813133	OTHER	ILLINOIS	PEORIA PODIATRY GROUP PC
4	1386802775	OTHER	ILLINOIS	CENTRAL ILLINOIS NERVE TESTING LTD
5	T38405	MEDICARE UPIN	ILLINOIS
6	6169990001	MEDICARE NSC
7	742741001	MEDICARE PIN	ILLINOIS

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

NPI Synchronization or Removal

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