1881814846 NPI number — SARAH CHRISTINE RUFF M.D.

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881814846 NPI number — SARAH CHRISTINE RUFF M.D.

Employer Identification Number (EIN):

Provider Organization Name:

Provider Last Name:

RUFF

Provider First Name:

SARAH

Provider Middle Name:

CHRISTINE

Provider Name Prefix Text:

Provider Name Suffix Text:

Provider Credential Text:

M.D.

Provider Gender Code:

F

Provider Other Organization Name:

Provider Other Organization Name Type Code:

Provider Other Last Name:

Provider Other First Name:

Provider Other Middle Name:

Provider Other Name Prefix Text:

Provider Other Name Suffix Text:

Provider Other Credential Text:

Provider Other Last Name Type Code:

NPI Number:

1881814846

Entity Type Code:

Individual

Replacement NPI:

Last Update Date:

08/10/2021

NPI Deactivation Reason Code:

NPI Deactivation Date:

NPI Reactivation Date:

Provider First Line Business Mailing Address:

2000 PERIMETER PARK DR STE 200

Provider Second Line Business Mailing Address:

Provider Business Mailing Address City Name:

MORRISVILLE

Provider Business Mailing Address State Name:

NC

Provider Business Mailing Address Postal Code:

27560-8442

Provider Business Mailing Address Country Code:

US

Provider Business Mailing Address Telephone Number:

Provider Business Mailing Address Fax Number:

Provider First Line Business Practice Location Address:

6013 FARRINGTON RD STE 101

Provider Second Line Business Practice Location Address:

Provider Business Practice Location Address City Name:

CHAPEL HILL

Provider Business Practice Location Address State Name:

NC

Provider Business Practice Location Address Postal Code:

27517-8173

Provider Business Practice Location Address Country Code:

US

Provider Business Practice Location Address Telephone Number:

984-974-7010

Provider Business Practice Location Address Fax Number:

984-974-7020

Provider Enumeration Date:

05/01/2007

Authorized Official Last Name:

Authorized Official First Name:

Authorized Official Middle Name:

Authorized Official Title or Position:

Authorized Official Telephone Number:

• Taxonomy code: 207Q00000X , with the licence number:  4301092072 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
• Taxonomy code: 207Q00000X , with the licence number: 2012-01634 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

• Identifier: 01014684 . This is a "HEALTHPLUS OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1881814846 . This is a "MOLINA HEALTH PLAN OF MI" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 50892 . This is a "HEALTH PLAN OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 080G310660 . This is a "BLUE CROSS BLUE SHIELD OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 381908328 . This is a "PRIORITY HEALTH" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1036889 . This is a "MCLAREN HEALTH PLAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 1881814846 , issued by the state of ( MI ) . This identifiers is of the category "MEDICAID".
• Identifier: 381908328 . This is a "HCAP" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 172153 . This is a "GREAT LAKES HEALTH PLAN OF MI" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
• Identifier: 421 . This is a "CARE SOURCE OF MICHIGAN JANES ST" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".