Physician Compare National (NPI:1316042104)

HEALTHCARE PROVIDER: ROBERT L RUXIN MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1316042104
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6507933140
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080923000463
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	RUXIN
	Individual professional last name
Provider First Name	ROBERT
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
	Individual professional's medical school
Graduation Year	1971
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	ENDOCRINOLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 2	GERIATRIC MEDICINE
	Second secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	ENDOCRINOLOGY, GERIATRIC MEDICINE
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	30 PROSPECT ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 300
	Group Practice or individual's line 2 address
City	RIDGEFIELD
	Group Practice or individual's city
State	CT
	Group Practice or individual's state
Zip Code	068774562
	Group Practice or individual's zip code (9 digits when available)
Phone Number	2034387339
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	070031
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	GRIFFIN HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	070006
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	STAMFORD HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	070033
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	DANBURY HOSPITAL
	Legal business name of hospital where individual professional provides service 3
Professional Accepts Medicare Assignment	Y