| Dr Mark Stephen Ruggiero, MD | |
|
10121 Pine Ave, Truckee, CA 96161-4835 | |
| (530) 582-6429 | |
| (530) 550-6726 |
| Full Name | Dr Mark Stephen Ruggiero |
|---|---|
| Gender | Male |
| Speciality | Pediatrics - Developmental - Behavioral Pediatrics |
| Location | 10121 Pine Ave, Truckee, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972621225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080P0006X | Pediatrics - Developmental - Behavioral Pediatrics | 29608 (Arizona) | Primary |
| Entity Name | Phoenix Children's Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922112044 PECOS PAC ID: 0446278584 Enrollment ID: O20051107000704 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Stephen Ruggiero, MD 10121 Pine Ave, Truckee, CA 96161-4835 Ph: () - | Dr Mark Stephen Ruggiero, MD 10121 Pine Ave, Truckee, CA 96161-4835 Ph: (530) 582-6429 |
Dr. Alida Fiamengo, D.O. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10956 Donner Pass Rd Ste 310, Truckee, CA 96161 Phone: 530-587-3523 | |
Dr. Lindara L Halloran, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Dr. Stephanie Sophie Lee, MD, MPH Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Dr. Maria Sylma Ortiz-tweed, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Jennifer Berkovich, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Dr. Adrian J Khaw, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10775 Pioneer Trl Ste 215, Truckee, CA 96161 Phone: 415-424-4266 Fax: 415-520-6633 | |
Ellen Marie Dejong, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 10121 Pine Ave, Truckee, CA 96161 Phone: 510-307-6773 |