DR. PAUL ANDY RUTH M.D.
NPI 1336123611
Family Medicine in Crystal, MN

Q: What is Paul Ruth's NPI number?

The NPI number for Paul Ruth is 1336123611. It was assigned to this individual provider in the NPPES registry on December 1, 2005.

Q: What is Paul Ruth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Paul Ruth was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since December 01, 2005

5109 36TH AVE N, CRYSTAL, MN 55422(763) 587-7900(763) 587-7989 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 20, 2020, Jan 17, 2020, May 13, 2016 (3 updates tracked since 2016).

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About Dr. Paul Andy Ruth M.d. NPPES

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

DR. PAUL ANDY RUTH M.D. (NPI 1336123611) is an individual family medicine provider in Crystal, Minnesota, licensed in Minnesota (24848) and active in the NPI registry since December 2005. He maintains a secondary practice location in Osseo.

NPPES Registry Identity

NPI1336123611

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. PAUL ANDY RUTHCredential: M.D.

Location Address5109 36TH AVE NCrystal, MN 55422-2007

Mailing Address5109 36th Ave NCrystal, MN 55422-2007 · (763) 587-7900 · Fax (763) 587-7989

Phone(763) 587-7900

Fax(763) 587-7989

Sole ProprietorNo

Enumeration DateDecember 1, 2005

Last NPPES UpdateOctober 20, 20203 updates tracked since enumeration

NPPES CertifiedOctober 20, 2020

✔ NPI 1336123611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 24848

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5109 36TH AVE N, Crystal, MN 55422

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Secondary Practice Location 1

Location 150 Central AveOsseo, MN 55369-1241 · Phone (763) 587-7900 · Fax (763) 420-1901

Other Identifiers 11

Medicaid5T429RUMN

OtherHP29844MN · Health Partners

Other5T429RUMN · Blue Cross

OtherA009MN · Champus

Other20177MN · Sioux Valley

Medicaid959544IA

OtherMH9041000380MN · Preferred One

Other01-13065MN · Medica

Medicaid116213MN

Other555707MN · Araz

Medicaid844563000MN

Other Providers at the Same Location NPPES 16

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

MRS. KATHERINE ROSE CLARK PA-C

Physician Assistant