Allison Ballard Ruzicka (NPI# 1043774128, PAC ID# 4789924838) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1043774128 |
| PAC ID by PECOS | 4789924838 |
| Professional Enrollment ID | I20190327002239 |
| Full Name | Allison Ballard Ruzicka |
| Organization Legal Name | INNOVA PRIMARY CARE, PC |
| Address |
247 Chateau Dr Sw Huntsville AL 35801-6401 |
| Phone Number | 2568821510 |
| Gender | F |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 4688845571 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010131 | CRESTWOOD MEDICAL CENTER |
| 010039 | HUNTSVILLE HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 247 Chateau Dr Sw, Huntsville, AL 35801-6401 | 2568821510 | INNOVA PRIMARY CARE, PC |
| Organization Legal Name | INNOVA PRIMARY CARE, PC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy C Pittman | Nurse Practitioner | Innova Primary Care, PC | One Hospital Dr, Huntsville, AL 35801-3498 |
| Brooke Uptagrafft | Family Medicine | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Kelley M Rogers | Nurse Practitioner | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Robin E Erwin | Nurse Practitioner | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Kelly Diaz | Family Medicine | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Angelia Hart | Nurse Practitioner | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Thomas Kenneth Spain | Internal Medicine | Innova Primary Care, PC | 1102 Gleneagles Dr Sw, Huntsville, AL 35801-6404 |
| Street Address |
247 CHATEAU DR SW |
| City | HUNTSVILLE |
| State | AL |
| Zip | 35801-6401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brooke Uptagrafft | Family Medicine | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Kelley M Rogers | Nurse Practitioner | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Robin E Erwin | Nurse Practitioner | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Kelly Diaz | Family Medicine | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Angelia Hart | Nurse Practitioner | Innova Primary Care, PC | 247 Chateau Dr Sw, Huntsville, AL 35801-6401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Gordon Mcmurray | Urology | 303 Williams Sw Ave, Suite 411, Huntsville, AL 35801 | |
| Peter S Wilson | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Diane C Winters | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Philip K. Wiles | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Raymond L Sheppard Jr. | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Clinton Scott Williams | Family Medicine | 420 Lowell Sedr, Suite 107, Huntsville, AL 35801 | |
| John H Lary | Internal Medicine | 600 St Clair Ave Sw, Bldg G Suite 12b, Huntsville, AL 35801 | |
| Bala M Chennupati | Internal Medicine | 250 Chateau Swdr, Suite 220, Huntsville, AL 35801 | |
| Daniel Boyett | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Manmohan K Ghanta | General Surgery | General Surgery Associates | 4704 Whitsburg Dr Se, Suite 200, Huntsville, AL 35801 |
| Find all physicians in zip 35801 | |||
| City | HUNTSVILLE |
| Zip Code | 35801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | HUNTSVILLE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Allison Ballard Ruzicka.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.