Craig R Ruble (NPI# 1467402867, PAC ID# 2062405376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
Nation Provider ID (NPI) | 1467402867 |
PAC ID by PECOS | 2062405376 |
Professional Enrollment ID | I20040405000305 |
Full Name | Craig R Ruble |
Organization Legal Name | SIGNATURE MEDICAL GROUP, INC. |
Address |
1390 Us Hwy 61 G1000 Festus MO 63028-4136 |
Phone Number | 6369337400 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
Graduation Year | 1996 |
Primary Specialty | ORTHOPEDIC SURGERY |
Group Practice PAC ID | 4880598291 |
Number of Group Practice Members | 71 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
260023 | MERCY HOSPITAL JEFFERSON |
260176 | DES PERES HOSPITAL |
261330 | STE GENEVIEVE COUNTY MEMORIAL HOSPITAL |
261308 | WASHINGTON COUNTY MEMORIAL HOSPITAL |
260163 | PARKLAND HEALTH CENTER |
Address | Phone | Organization |
---|---|---|
1390 Us Hwy 61 G1000, Festus, MO 63028-4136 | 6369337400 | SIGNATURE MEDICAL GROUP, INC. |
800 Genevieve Dr, Sainte Genevieve, MO 63670-1434 | 6369337400 | SIGNATURE MEDICAL GROUP, INC. |
Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
---|---|---|---|
ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
Organization Legal Name | SIGNATURE MEDICAL GROUP, INC. |
Physicians | 62 |
Name | Specialty | Organization | Address |
---|---|---|---|
Brian A Fissel | Orthopedic Surgery | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
Misty D Wheelock | Nurse Practitioner | Signature Medical Group, Inc. | 845 N New Ballas Ct, Suite 200, Saint Louis, MO 63141-7169 |
Selwyn Picker | Neurosurgery | Signature Medical Group, Inc. | 621 S Ballas Rd, 310a, Saint Lous, MO 63141-5314 |
Matthew Melander | Orthopedic Surgery | Signature Medical Group, Inc. | 9323 Phoenix Village Pkwy, O Fallon, MO 63368-4281 |
Kenneth G Smith | General Surgery | Signature Medical Group, Inc. | 12122 Tesson Ferry Rd, Suite 101, Saint Louis, MO 63128-1772 |
Ann Marie S Rockamann | Obstetrics/gynecology | Signature Medical Group, Inc. | 3023 N Ballas Rd, Suite 600d, Saint Louis, MO 63131-2332 |
John E Delrosario | Physical Medicine and Rehabilitation | Signature Medical Group, Inc. | 10010 Kennerly Rd, Suite 4, Saint Louis, MO 63128-2106 |
Theresa A Boxdorfer | Nurse Practitioner | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
Dennis A Dusek | Orthopedic Surgery | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
Alexandria N Ruzicka | Physician Assistant | Signature Medical Group, Inc. | 12639 Old Tesson Rd, Suite 115, Saint Louis, MO 63128-2786 |
Street Address |
1390 US HWY 61 G1000 |
City | FESTUS |
State | MO |
Zip | 63028-4136 |
Name | Specialty | Organization | Address |
---|---|---|---|
Patricia M Sohn | Nurse Practitioner | Signature Medical Group, Inc | 1390 Us Hwy 61 G1000, Festus, MO 63028-4136 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarah L Jensen | Dermatology | 1463 Hwy 61 B, Festus, MO 63028 | |
Chandra B Dommaraju | Infectious Disease | 1400 Hwy 61 240b, Festus, MO 63028 | |
Robert J Evens | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
Paul H Wang | Psychologist, Clinical | 1400 Hwy 61 S, Festus, MO 63028 | |
Kevin T Baumgartner | Emergency Medicine | Southeastern Emergency Physicians of Memphis LLC | 1400 Hwy 61 S, Festus, MO 63028 |
Phillip J Ward | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
Ashley P Schwendeman | Physical Therapy | Central Missouri Physical Therapy LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
Mindy Kay Wortmann | Nurse Practitioner | Interventional Pain Institute, LLC | 1405 N Truman Blvd, Festus, MO 63028-1177 |
Steven A Harvey | Psychiatry | 23 N 6th St, My Place Residential Facility, Festus, MO 63028-1301 | |
William W Clendenin | Psychiatry | 705 Moore St, Festus, MO 63028-1339 | |
Find all physicians in zip 63028 |
City | FESTUS |
Zip Code | 63028 |
Specialty | ORTHOPEDIC SURGERY |
City + Specialty | FESTUS + ORTHOPEDIC SURGERY |
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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.