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THOMAS RUFFALO PA
NPI 1063407013
Physician Assistant in Oconomowoc, WI

Active since September 15, 2005
791 SUMMIT AVE, OCONOMOWOC, WI 53066(262) 569-9119 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas Ruffalo Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THOMAS RUFFALO PA (NPI 1063407013) is an individual physician assistant in Oconomowoc, Wisconsin, licensed in Wisconsin (657-023) and active in the NPI registry since September 2005.

NPPES Registry Identity

NPI1063407013
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTHOMAS RUFFALOCredential: PA
Location Address791 SUMMIT AVEOconomowoc, WI 53066-3844
Mailing Address541 S Sawyer RdOconomowoc, WI 53066-9243 · (262) 244-7693
Phone(262) 569-9119
Sole ProprietorNo
Enumeration DateSeptember 15, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063407013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 657-023
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
791 SUMMIT AVE, Oconomowoc, WI 53066
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Other Identifiers 2

Medicaid42936300WI
Medicare UPINS18227WI

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVGENIYA KHEN NP
Nurse Practitioner (Acute Care)
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-9400
DR. TERRENCE J GAYNOR M.D.
Anesthesiology
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-9400
DR. RICHARD MORRIS HANSEN MD
Internal Medicine (Hematology & Oncology)
791 SUMMIT AVE, PROHEALTH CARE REGIONAL CANCER CENTER
OCONOMOWOC, WI 53066
Waukesha County (262) 569-0554
LAKE COUNTRY PHARMACY
Pharmacist
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-0284
NORHAN MOHAMMED M.D.
Internal Medicine (Cardiovascular Disease)
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-9400
PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC.
General Acute Care Hospital
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 928-2510
JAMES JOSEPH HARPER M.D.
Emergency Medicine
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-0251
PROHEALTH OCONOMOWOC MEMORIAL HOSPITAL, INC.
Pharmacy (Institutional Pharmacy)
791 SUMMIT AVE
OCONOMOWOC, WI 53066
Waukesha County (262) 569-0471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Thomas Ruffalo's NPI number?

The NPI number for Thomas Ruffalo is 1063407013. It was assigned to this individual provider in the NPPES registry on September 15, 2005.

Where is Thomas Ruffalo located?

Thomas Ruffalo practices at 791 Summit Ave, Oconomowoc, WI 53066. The listed phone number is (262) 569-9119.

What is Thomas Ruffalo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Thomas Ruffalo was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.