Carlice C Ruttan Jr. (NPI# 1740540129, PAC ID# 4880952563) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1740540129 |
| PAC ID by PECOS | 4880952563 |
| Professional Enrollment ID | I20180102000483 |
| Full Name | Carlice C Ruttan Jr. |
| Organization Legal Name | NORTH COUNTRY TRANSITIONAL LIVING SERVICES INC |
| Address |
7550 S State St Lowville NY 13367-1574 |
| Phone Number | 3153765450 |
| Gender | M |
| Graduation Year | 1995 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2466618749 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7550 S State St, Lowville, NY 13367-1574 | 3153765450 | NORTH COUNTRY TRANSITIONAL LIVING SERVICES INC |
| 482 Black River Pkwy, Watertown, NY 13601-2416 | 31578217771016 | NORTH COUNTRY TRANSITIONAL LIVING SERVICES INC |
| Organization Legal Name | NORTH COUNTRY TRANSITIONAL LIVING SERVICES INC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Erin Phinney | Nurse Practitioner | North Country Transitional Living Services Inc | 482 Black River Pkwy, Watertown, NY 13601-2416 |
| Chelsea M Ashcroft | Nurse Practitioner | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Gina M Brewer | Clinical Social Worker | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Kim M Richards | Nurse Practitioner | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Tarun Kumar | Psychiatry | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Mary Ann Vanbuskirk | Clinical Social Worker | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Julie A Bush | Clinical Social Worker | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Street Address |
7550 S STATE ST |
| City | LOWVILLE |
| State | NY |
| Zip | 13367-1574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea M Ashcroft | Nurse Practitioner | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Gina M Brewer | Clinical Social Worker | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Kim M Richards | Nurse Practitioner | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Tarun Kumar | Psychiatry | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Mary Ann Vanbuskirk | Clinical Social Worker | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Julie A Bush | Clinical Social Worker | North Country Transitional Living Services Inc | 7550 S State St, Lowville, NY 13367-1574 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sherry L Beyer | Physical Therapy | Journey Physical Therapy Pllc | 5402 Dayan St, Lowville, NY 13367-1100 |
| Dyana M Manning | Physician Assistant | Lowville Medical Associates LLP | 5402 Dayan St, Suite 100, Lowville, NY 13367-1100 |
| Melissa M Muha | Nurse Practitioner | Lowville Medical Associates LLP | 5402 Dayan St, Suite 100, Lowville, NY 13367-1100 |
| Taylor E Haenlin | Physician Assistant | Lowville Medical Associates LLP | 5402 Dayan St, Suite 100, Lowville, NY 13367-1100 |
| Eliza M Zehr | Physical Therapy | Journey Physical Therapy Pllc | 5402 Dayan St, Lowville, NY 13367-1100 |
| Pamela J Brower | Clinical Social Worker | 5402 Dayan St, Suite 6, Lowville, NY 13367-1100 | |
| Kathryn E Mchugh | Family Medicine | Lowville Medical Associates LLP | 5402 Dayan St, Suite 100, Lowville, NY 13367-1100 |
| Steven L Lyndaker | Internal Medicine | Lowville Medical Associates LLP | 5402 Dayan St, Suite 100, Lowville, NY 13367-1100 |
| Troy Moser | Physician Assistant | Lowville Medical Associates LLP | 5402 Dayan St, Suite 100, Lowville, NY 13367-1100 |
| Amber R Astafan | Physical Therapy | Journey Physical Therapy Pllc | 5402 Dayan St, Lowville, NY 13367-1100 |
| Find all physicians in zip 13367 | |||
| City | LOWVILLE |
| Zip Code | 13367 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LOWVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Carlice C Ruttan Jr..
| 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.