Provider Demographics
NPI:1366404527
Name:RUGGERI-WEIGEL, PATRICIA (MD, FACP)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:
Last Name:RUGGERI-WEIGEL
Suffix:
Gender:F
Credentials:MD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27128
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84127-0128
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5171 S COTTONWOOD ST
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84107-5704
Practice Address - Country:US
Practice Address - Phone:801-507-7781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-04
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04895200207RI0200X
UT13549755-1235207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
701400OtherAETNA - NONPAR
P2161436OtherOXFORD - NONPAR
F06237OtherHEALTH NET
NJ5227704Medicaid
0311317000OtherAMERIHEALTH
91000330700OtherAMERICHOICE
0964894OtherCIGNA
NJ5227704Medicaid
91000330700OtherAMERICHOICE
F06237OtherHEALTH NET