Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MACK T RUFFIN IV
Active
Individual
MACK T RUFFIN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301055570
MI
207Q00000X
Family Medicine Physician
Primary
MD459216
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1031816190001
—
PA
05
—
2623517
—
MI
01
—
534246
MEDICARE PTAN
PA
Enumeration date
10/11/2006
Last updated
05/09/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up