HOLLI K RUBY DO NPI 1508801580

NPI Information

NPI: 1508801580
Provider Name: HOLLI K RUBY, DO
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
504 NW 10TH AVE.
AVA, MO
ZIP 65608
Phone: (417) 683-4831
Get Directions

Holli K Ruby, DO is a family medicine in Ava, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Holli K Ruby, DO NPI is 1508801580. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

504 NW 10TH AVE.
AVA, MO
ZIP 65608-359
Phone: (417) 683-4831
Fax: (417) 683-1602

The enumeration date for this NPI number is 6/16/2006 and was last updated on 10/26/2015.

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	207Q00000X	Family Medicine		118003	MISSOURI	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	G28691	MEDICARE UPIN	MISSOURI
2	148980	OTHER		BCBS
3	243912714	MEDICAID	MISSOURI
4	080174612	OTHER		RAILROAD MEDICARE
5	389677	OTHER		HEALTHLINK

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: 5/5/2024

NPI Synchronization or Removal

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