Provider Demographics
NPI:1588616106
Name:RUHL, TERRY S (MD)
Entity Type:Individual
Prefix:
First Name:TERRY
Middle Name:S
Last Name:RUHL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:501 HOWARD AVE
Mailing Address - Street 2:SUITE F2
Mailing Address - City:ALTOONA
Mailing Address - State:PA
Mailing Address - Zip Code:16601-4810
Mailing Address - Country:US
Mailing Address - Phone:814-889-2701
Mailing Address - Fax:814-889-7864
Practice Address - Street 1:501 HOWARD AVE
Practice Address - Street 2:SUITE F2
Practice Address - City:ALTOONA
Practice Address - State:PA
Practice Address - Zip Code:16601-4810
Practice Address - Country:US
Practice Address - Phone:814-889-2701
Practice Address - Fax:814-889-7864
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD067582L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA206692OtherUPMC FOR YOU
PA97216OtherUNISON HEALTH PLAN
PA0017492470001Medicaid
PA115160OtherUNISON HEALTH PLAN OB
PA52040OtherGEISINGER HEALTH PLAN
PA609897OtherHIGHMARK BC/BS
PA1546800OtherGATEWAY HEALTH PLAN OB
PA206692OtherUPMC HEALTH PLAN
PAP001710OtherGATEWAY HEALTH PLAN
PA115160OtherUNISON HEALTH PLAN OB
PA52040OtherGEISINGER HEALTH PLAN