Provider Type Icon

DR. PHILLIP J RUFFALO M.D. NPI 1649252651


NPI Information

NPI: 1649252651
Provider Name: DR. PHILLIP J RUFFALO, M.D.
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
1213 15TH AVE W
SUITE 250
WILLISTON, ND
ZIP 58801
Phone: (701) 577-0319
Get Directions

DR. Phillip J Ruffalo, M.D. is a surgery in Williston, ND. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. DR. Phillip J Ruffalo, M.D. NPI is 1649252651. 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:

1213 15TH AVE W
SUITE 250
WILLISTON, ND
ZIP 58801-800
Phone: (701) 577-0319
Fax: (701) 572-7438

The enumeration date for this NPI number is 11/16/2005 and was last updated on 7/8/2007.


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
1208600000XSurgeryM5897IDAHONo
2208600000XSurgery3813MONTANANo
3208600000XSurgeryND3055NORTH DAKOTAYes

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
1013760MEDICAIDNORTH DAKOTA
2594OTHERNORTH DAKOTAND BLUE CROSS BLUE SHIELD
33813OTHERMONTANAMT LICENSE #
4M5897OTHERIDAHOIDAHO LICENSE #
5D26254MEDICARE UPINNORTH DAKOTA
60031720OTHERMONTANAMT MEDICAID
7N594MEDICARE ID-TYPE UNSPECIFIEDNORTH DAKOTA

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.