A. CLARK RUTTINGER D O PLLC
NPI 1174706519
Family Medicine - Geriatric Medicine in Surprise, AZ

Active since December 07, 2007CLIA 03D0983493 · Microscopy
13951 W GRAND AVE STE 203, SURPRISE, AZ 85374(623) 544-4600(623) 544-4725 Get Directions Write a Review

NPPES record last updated: February 5, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About A. Clark Ruttinger D O Pllc NPPES

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

A. CLARK RUTTINGER D O PLLC (NPI 1174706519) is a healthcare organization registered as a geriatric medicine in Surprise, Arizona and active in the NPI registry since December 2007. The organization holds a CLIA Microscopy certificate valid through February 22, 2027 and lists Albert Clark Ruttinger, Owner, as its authorized official.

NPPES Registry Identity

NPI1174706519
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameA. CLARK RUTTINGER D O PLLC
Location Address13951 W GRAND AVE STE 203Surprise, AZ 85374-2436
Mailing Address13951 W Grand Ave Ste 203Surprise, AZ 85374-2436 · (623) 544-4600 · Fax (623) 544-4725
Fax(623) 544-4725
Organization SubpartNo
Authorized OfficialAlbert Clark RuttingerOwner · (623) 544-4600
Enumeration DateDecember 7, 2007
Last NPPES UpdateFebruary 5, 2023
NPPES CertifiedFebruary 5, 2023
NPI 1174706519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License Licensed in AZ · 2607
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
13951 W GRAND AVE STE 203, Surprise, AZ 85374

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 03D0983493

A Clark Ruttinger Do PLLC · Surprise, AZ
Active · expires Feb 22, 2027
CLIA Number03D0983493
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorA Clark Ruttinger Do
Laboratory Phone(623) 544-4600
Laboratory LocationA Clark Ruttinger Do PLLC13951 W Grand Ave Ste 203, Surprise, AZ 85374
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine (Geriatric Medicine)
13951 W GRAND AVE STE 203
SURPRISE, AZ 85374

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 A. Clark Ruttinger D O PLLC's NPI number?

The NPI number for A. Clark Ruttinger D O PLLC is 1174706519. It was assigned to this organization in the NPPES registry on December 7, 2007.

Where is A. Clark Ruttinger D O PLLC located?

A. Clark Ruttinger D O PLLC is located at 13951 W Grand Ave Ste 203, Surprise, AZ 85374. The listed phone number is (623) 544-4600.

What is A. Clark Ruttinger D O PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does A. Clark Ruttinger D O PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 03D0983493) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does A. Clark Ruttinger D O PLLC accept?

Health plans from Ambetter from Arizona Complete Health list A. Clark Ruttinger D O PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for A. Clark Ruttinger D O PLLC was last updated on February 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.