Provider Demographics
NPI:1871531632
Name:RUFFNER, ROBERT J (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:J
Last Name:RUFFNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 S AIKEN AVE
Mailing Address - Street 2:SUITE 311
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15232-1521
Mailing Address - Country:US
Mailing Address - Phone:412-621-5000
Mailing Address - Fax:412-621-1804
Practice Address - Street 1:532 S AIKEN AVE
Practice Address - Street 2:SUITE 311
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15232-1521
Practice Address - Country:US
Practice Address - Phone:412-621-5000
Practice Address - Fax:412-621-1804
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2012-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028923E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
100533OtherUPMC FOR YOU
PA1013039OtherGATEWAY HEALTH PLAN
000000080523OtherUNISON HEALTH PLAN
PA0010282940007Medicaid
PA060068003OtherRAILROAD MEDICARE
PA140268OtherHIGHMARK BLUE SHIELD
PA0011823000OtherINDEPENDENCE BLUE SHIELD
65876OtherFIRST HEALTH
PAB39006Medicare UPIN
PA140268Medicare PIN