JIMMY RUIZ (NPI# 1265494413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265494413 |
| Entity Type | Individual |
| Full Name | JIMMY RUIZ |
| Credential | M.D. |
| Practice Address |
Medical Center Blvd Winston-salem NC 27157-0001 |
| Mailing Address |
Po Box 344 Winston Salem NC 27102-0344 |
| Practice Telephone | 3367162255 |
| Mailing Telephone | 3367162255 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2016-05-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 2005-01963 | NC | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
2005-01963 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | Q01963 | 05 | |
| PARTNERS | 810605 | 01 | |
| AETNA | 9062063 | 01 | |
| MEDCOST | 199209 | 01 | |
| NC | MEDICARE | 2064994 | 01 |
| WV | 3810009019 | 05 | |
| BCBS | 145JG | 01 | |
| NC | 5906698 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962408351 | Jimmy Joseph Ruiz | Obstetrics & Gynecology | 2729 Blair Mill Rd, Willow Grove, PA 19090-1042 | 2005-06-22 |
| Street Address |
MEDICAL CENTER BLVD |
| City | WINSTON-SALEM |
| State | NC |
| Zip Code | 27157-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013365758 | Trevor James Tyner | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2016-06-02 |
| 1245685866 | Megan Brock | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Wake Forest Baptist Medical Center, Dept of Pediatrics, Winston-salem, NC 27157 | 2016-05-02 |
| 1871961573 | Daniel Smith | Nurse Anesthetist, Certified Registered | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2015-09-11 |
| 1265819692 | Maria-carolina Orbay | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2015-05-06 |
| 1053707307 | Brent Frederick | Hospitalist | Medical Center Blvd, Winston-salem, NC 27157 | 2015-04-14 |
| 1720491889 | Tiffany Earle | Student in an Organized Health Care Education/Training Program | Medical Center Blvd, Winston-salem, NC 27103 | 2014-06-06 |
| 1881822856 | Christopher James Edwards | Anesthesiology | Medical Center Blvd, Wake Forest University, Baptist Medical Center, Winston-salem, NC 27157 | 2009-06-29 |
| 1245408988 | Archana Manoj Shah | Anesthesiology | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2008-02-15 |
| 1962684514 | Christina Natale Condon | Nurse Practitioner | Medical Center Blvd, Winston-salem, NC 27157-0001 | 2007-12-05 |
| 1790966356 | Hirenkumar Babubhai Patel | Pediatrics | Medical Center Blvd, Winston-salem, NC 27157-1184 | 2007-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255960241 | Alexandra Marie Balmaceda | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 | 2020-04-02 |
| 1164916680 | Jorie Elizabeth Gatts | Student in an Organized Health Care Education/Training Program | Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 | 2018-06-18 |
| 1932606555 | Alexi Rae Ellington Webb | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-04-10 |
| 1851896674 | Wasim Muhammad | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 | 2018-03-25 |
| 1336643535 | Phillip Martin Kostelic | Student in an Organized Health Care Education/Training Program | Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 | 2018-03-21 |
| 1831693324 | Aleah Bond | Student in an Organized Health Care Education/Training Program | Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 | 2018-03-20 |
| 1134644859 | Ilan Binyamin Klein | Urology | Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 | 2017-08-03 |
| 1023467529 | Edward John Doyle IIi | Student in an Organized Health Care Education/Training Program | Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 | 2016-06-07 |
| 1477917888 | Jordan Mae Burner | Student in an Organized Health Care Education/Training Program | Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 | 2016-04-12 |
| 1174900476 | Kate Elise Winterbottom | Speech-Language Pathologist | 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 | 2015-05-06 |
| Find all providers in zip 27157 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275551228 | Heidi D Klepin | Internal Medicine | Medical Center Blvd, Winston-salem, NC 27157 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1295343341 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 640, Charlotte, NC 28204-3215 | 2020-07-15 |
| 1881212215 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 520, Charlotte, NC 28204-3215 | 2020-07-13 |
| 1720606486 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 400, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1720606445 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 430, Charlotte, NC 28204-3215 | 2020-07-09 |
| 1235757352 | The Presbyterian Hospital | Internal Medicine | 125 Queens Rd Ste 420, Charlotte, NC 28204-3215 | 2020-07-07 |
| 1811517311 | Rowan Regional Medical Center, Inc. | Internal Medicine | 631 Mocksville Ave, Ste 1020, Salisbury, NC 28144-2731 | 2020-04-24 |
| 1154955995 | Mohamed Sobhy Elhusseini Yassin | Internal Medicine | 2400 Pratt St Ste 5000, Durham, NC 27705-3976 | 2020-03-02 |
| 1164944377 | David Michael Ashley | Internal Medicine | Department of Neurosurgery Duke University Ctr, Durham, NC 27710-0001 | 2017-07-10 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON-SALEM |
| Zip Code | 27157 |
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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.