Healthcare Provider Details

I. General information

NPI: 1902715824
Provider Name (Legal Business Name): WEST END PRIME PLASTIC SURGERY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 M ST NW STE 200
WASHINGTON DC
20037-1449
US

IV. Provider business mailing address

2440 M ST NW STE 200
WASHINGTON DC
20037-1449
US

V. Phone/Fax

Practice location:
  • Phone: 202-785-4187
  • Fax:
Mailing address:
  • Phone: 202-785-4187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: PAUL G RUFF IV
Title or Position: MEDICAL
Credential: MD
Phone: 563-320-1869