Provider Demographics
NPI:1871542621
Name:RUHT, BARRY A
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:A
Last Name:RUHT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1605 N CEDAR CREST BLVD
Mailing Address - Street 2:STE 608
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-2351
Mailing Address - Country:US
Mailing Address - Phone:610-821-4950
Mailing Address - Fax:610-821-4009
Practice Address - Street 1:1605 N CEDAR CREST BLVD
Practice Address - Street 2:SUITE 608
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-2351
Practice Address - Country:US
Practice Address - Phone:610-821-4950
Practice Address - Fax:610-821-4009
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD018223E207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA151055OtherHIGHMARK BLUE SHIELD
PA1216306OtherCIGNA
PAP2141269OtherOXFORD
PA2306051000OtherAMERIHEALTH 65
PA50041227OtherCAPITALBLUE CROSS
PADC6225OtherRR MEDICARE
PA3633622OtherAETNA
PA39153OtherGEISINGER
PA50041227OtherKEYSTONE
PAB39964Medicare UPIN
PA5633810001Medicare NSC