Theodore A Ruff, MD | |
1001 S Douglas Blvd, Suite A, Midwest City, OK 73130-5251 | |
(405) 733-3030 | |
(405) 733-3865 |
Full Name | Theodore A Ruff |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 34 Years |
Location | 1001 S Douglas Blvd, Midwest City, Oklahoma |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477529139 | NPI | - | NPPES |
100046880A | Medicaid | OK |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 20876 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm Health St Anthony Hospital - Shawnee | Shawnee, OK | Hospital |
Alliancehealth Midwest | Midwest city, OK | Hospital |
Ssm Health St Anthony Hospital - Oklahoma City | Oklahoma city, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Citizen Potawatomi Nation | 3375511488 | 26 |
Shawnee Medical Center Clinic, Inc. | 3870405434 | 76 |
Saints Medical Group, Llc | 7012914898 | 358 |
Citizen Potawatomi Nation | 3375511488 | 26 |
Entity Name | Shawnee Medical Center Clinic, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881648285 PECOS PAC ID: 3870405434 Enrollment ID: O20031103000239 |
Entity Name | Saints Medical Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437195922 PECOS PAC ID: 7012914898 Enrollment ID: O20061109000189 |
Entity Name | Oklahoma Surgical Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013298470 PECOS PAC ID: 6507039435 Enrollment ID: O20111109000332 |
Mailing Address | Practice Location Address |
---|---|
Theodore A Ruff, MD 2525 Nw Expressway, Suite 610, Oklahoma City, OK 73112 Ph: (405) 286-9465 | Theodore A Ruff, MD 1001 S Douglas Blvd, Suite A, Midwest City, OK 73130-5251 Ph: (405) 733-3030 |
Jahanyar John Makipour, Jr, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 9020 E Reno Ave Fl 2, Midwest City, OK 73130 Phone: 405-732-7715 | |
Richard L Wilson, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2801 Parklawn Dr, Ste 303, Midwest City, OK 73110 Phone: 405-733-3030 Fax: 405-733-3865 | |
Carlos Adrian Egas, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2801 Parklawn Dr Ste 300, Midwest City, OK 73110 Phone: 405-610-2400 Fax: 405-610-2411 | |
Dr. Ganga M Pujari, MD Surgery Medicare: Medicare Enrolled Practice Location: 6908 E Reno Ave, Suite 104, Midwest City, OK 73110 Phone: 405-736-0055 Fax: 405-736-6311 | |
Lee Andrew Ison, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 2817 Parklawn Dr, Midwest City, OK 73110 Phone: 405-737-6606 Fax: 405-737-2869 |