Provider Type Icon

ALISON ELAINE RUTHKOWSKI MPAS PA-C NPI 1114998556


NPI Information

NPI: 1114998556
Provider Name: ALISON ELAINE RUTHKOWSKI, MPAS PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
2851 N TENAYA WAY
SUITE 101
LAS VEGAS, NV
ZIP 89128
Phone: (702) 735-7154
Get Directions

Alison Elaine Ruthkowski, MPAS PA-C is a medical physician assistant in Las Vegas, NV. Alison Elaine Ruthkowski, MPAS PA-C NPI is 1114998556. 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:

2851 N TENAYA WAY
SUITE 101
LAS VEGAS, NV
ZIP 89128
Phone: (702) 735-7154
Fax: (702) 869-8103

The NPI 1114998556 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 2/1/2006 and was last updated on 7/20/2010.


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
1363AM0700XPhysician AssistantMedicalPA877NEVADAYes

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
1100506859MEDICAIDNEVADA
2Q51624MEDICARE UPIN
3101297MEDICARE ID-TYPE UNSPECIFIEDNEVADA
4Q51624MEDICARE UPINNEVADA
5100506860MEDICAIDNEVADA

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: 11/14/2023

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.