Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacob Austin Ruzicka, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1750841029

Jacob Austin Ruzicka, MD is a Student in an Organized Health Care Education/Training Program in Broken Arrow, Oklahoma. Practices as a sole proprietor. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19646 E 140th St S
Broken Arrow, OK 74014-4555
Phone: (918) 260-5920
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 38921 (OK)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1750841029
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 22, 2019
Last updated in NPPESJune 30, 2022
Certification dateJune 30, 2022

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