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Deactivated NPI 1356671598 Deactivated / Inactive NPI Female Practitioner

Teresa Ruse , CEO

Contractor • Summerfield, FL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Teresa Ruse has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 11, 2010
NPI Deactivation Date October 23, 2024
Total Practice Duration ~14 Years of Practice (2010 – 2024)

Professional Overview & Biography Verified Profile Summary

Teresa Ruse, CEO was a registered Contractor practicing in Summerfield, FL. Throughout an active medical career spanning 14 years, Teresa Ruse provided care at the practice location at 16135 SE 95TH CT until profile deactivation on 2024-10-23.

Practice Location & Contact Primary Location

Practice Address

16135 Se 95th Ct

Summerfield, FL 344915906

Telephone 3526932545
Fax 3526932553
Associated Practice Facility / Clinic
🏢 John S. Geddes Iii Od Pa Facility NPI 1548406473

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Summerfield, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 25.0 Yrs
Regional Practice Density
1 Specialists

Practicing in Summerfield, FL (793 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1629173208

Doctor of Optometry

NPI 1952339921

Doctor of Optometry

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Reactivated November 04, 2024

Record officially reactivated for active practice on November 04, 2024

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NPI Profile Deactivated October 23, 2024

Record deactivated on October 23, 2024

NPI Profile Active January 11, 2010

NPI status registered as active in NPPES database

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Updated Practice Location January 11, 2010

Registered at 16135 SE 95TH CT, SUMMERFIELD, FL 344915906 (Tel: 3526932545)

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Updated Business Mailing Address January 11, 2010

Registered at 16135 SE 95TH CT, SUMMERFIELD, FL 344915906 (Tel: 3526932545)

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Provider Name / Credentials Updated January 11, 2010

Recorded as TERESA RUSE, CEO

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 11, 2010

Contractor

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Initial NPI Registration & Enumeration January 11, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356671598
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 11, 2010
Last Update: November 04, 2024
Deactivation Date: October 23, 2024
Sole Proprietor: Yes

Mailing Address

16135 Se 95th Ct

Summerfield, FL 344915906

Phone: 3526932545

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.