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Export Provider Record NPI 1205078987
John Thomas RuxerDO
Active
NPI Number1205078987
NPI TypeNPI-1 Individual
Provider Details
NPI1205078987
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2009-03-27
Last Updated2025-07-24
Mailing Address5925 Old Hwy 60
Paducah, KY 42001
United States
Phone: (270) 228-0118 | Fax: (270) 228-0120
๐Ÿ“ View Map
Primary Practice Address5925 Old Hwy 60 West, Suite D
Paducah, KY 42001
United States
Phone: (270) 228-0118 | Fax: (270) 228-0120
๐Ÿ“ View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDKY7100136190-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
No2085R0202X โ€“ Radiology, Diagnostic RadiologyKY03360
Yes208VP0000X โ€“ KY03360
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About NPI 1205078987

John Thomas Ruxer DO is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1205078987. The provider is located in Paducah, KY. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2009-03-27. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1205078987?

NPI 1205078987 belongs to John Thomas Ruxer DO in Paducah, KY. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1205078987 active?

The current status of NPI 1205078987 in the NPPES registry is Active. The record was last updated on 2025-07-24.

What specialty is NPI 1205078987?

The taxonomy for NPI 1205078987 can be viewed in the Taxonomy section above. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1205078987?

You can verify NPI 1205078987 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1205078987?

The primary practice address on file for NPI 1205078987 is 5925 Old Hwy 60 West, Paducah, KY 42001. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1205078987 issued?

NPI 1205078987 was first issued (enumerated) on 2009-03-27. The NPPES record was last updated on 2025-07-24.

Practice Location Map

John Thomas Ruxer is located at 5925 Old Hwy 60 West, Paducah, KY. Use the map below to find directions or verify the practice location.

๐Ÿ“ 5925 Old Hwy 60 West, Paducah, KY 42001  ยท  Open in Google Maps โ†—

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as John Thomas Ruxer. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1205078987. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Radiology, Diagnostic Radiology03360KY
208VP0000X03360KY
Data Verified from CMS NPPES Last synced: 2026-08-31 ยท Source: npiregistry.cms.hhs.gov ยท 45 CFR Part 162