HARRY R. RUTH, M.D.,P.C. (NPI# 1235305954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235305954 |
| Entity Type | Organization |
| Organization Name | HARRY R. RUTH, M.D.,P.C. |
| Practice Address |
1107 College Ave Suite 2 Quincy IL 62301-2664 |
| Practice Telephone | 2172283377 |
| Practice Fax Number | 2172282657 |
| Mailing Telephone | 2172283377 |
| Mailing Fax Number | 2172282657 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | MS. MARCA JANE OWENS (OFFICE MANAGER) |
| Authorized Official Telephone | 2172283377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0602X |
Otolaryngology Specialization: Otolaryngic Allergy |
036068434 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 00122928 | 01 |
| IL | 036068434 | 05 | |
| HEALTHLINK | 243437 | 01 | |
| MO | MEDICAID | 202444915 | 01 |
| Street Address |
1107 COLLEGE AVE SUITE 2 |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932185329 | Albert W Marchiando | Otolaryngology | 1107 College Ave, Ste 2, Quincy, IL 62301-2664 | 2005-12-19 |
| 1699376202 | Veronica Lynn Roth-phillips | Nurse Practitioner | 1107 College Ave, Quincy, IL 62301-2600 | 2020-11-02 |
| 1659869444 | Annslee Fahy | Nutritionist | 1107 College Ave, Quincy, IL 62301-2600 | 2018-04-26 |
| 1275926610 | Julie Eftink | Social Worker | 1107 College Ave, Quincy, IL 62301-2600 | 2015-03-10 |
| 1275962243 | Taofik Nasrat | Psychiatry & Neurology | 1107 College Ave, Quincy, IL 62301 | 2013-11-11 |
| 1518307305 | Jennifer Kamps | Dietitian, Registered | 1107 College Ave, Quincy, IL 62301-2600 | 2013-06-26 |
| 1417204827 | Blessing Hospital | Family Medicine | 1107 College Ave, Quincy, IL 62301-2600 | 2012-08-06 |
| 1467699082 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 1107 College Ave, Suite 2, Quincy, IL 62301-2664 | 2009-01-20 |
| 1639330400 | Jennifer A. Holcomb | Nurse Practitioner | 1107 College Ave, Quincy, IL 62301-2600 | 2008-06-24 |
| 1902072440 | Gretchen Derosear Melvin | Audiologist | 1107 College Ave, Suite B, Quincy, IL 62301-2664 | 2008-05-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 207YX0602X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngic Allergy |
| An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811150964 | John P. Hung, M.d.,s.c. | Otolaryngology | 19 Heritage Plz, Suite 210, Bourbonnais, IL 60914-1369 | 2008-07-09 |
| 1386715142 | John P Hung | Otolaryngology | 19 Heritage Plaza, Suite 210, Bourbonnais, IL 60914-1369 | 2006-11-13 |
| 1104006758 | Raymond Daou, Md, PC | Otolaryngology | 150 N River Rd, Ste 200, Des Plaines, IL 60016-1272 | 2007-11-12 |
| 1821278565 | Raymond Daou, Md, PC | Otolaryngology | 111 Spring St, St Francis Hall Ste 302, Streator, IL 61364-3332 | 2007-11-09 |
| 1851580195 | Dennis P Mlot Md LLC | Otolaryngology | 2413 Broadway St, Mount Vernon, IL 62864-2917 | 2007-10-23 |
| 1609955715 | Dennis Paul Mlot | Otolaryngology | 2413 Broadway St, Mount Vernon, IL 62864-2917 | 2006-11-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.