Provider Demographics
NPI:1487650081
Name:RUGER, JANE ANNE (MD)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ANNE
Last Name:RUGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W COUNTY LINE RD
Mailing Address - Street 2:SUITE 130
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80129-2360
Mailing Address - Country:US
Mailing Address - Phone:303-791-0418
Mailing Address - Fax:303-791-1849
Practice Address - Street 1:200 W COUNTY LINE RD
Practice Address - Street 2:SUITE 130
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-2360
Practice Address - Country:US
Practice Address - Phone:303-791-0418
Practice Address - Fax:303-791-1849
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-28
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM98-381207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NMT4805Medicaid
G74977Medicare UPIN
NMT4805Medicaid