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

Mr. Jose Anthony Ruiz, PA-C

Individual provider Physician Assistant · NPI 1548425309

Mr. Jose Anthony Ruiz, PA-C is a Physician Assistant in Charlotte, North Carolina. Qualified in 2008, 18 years ago. Practices with Mecklenburg Radiology Associates PA, a 94-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina and Washington.

Years since qualifying
18
Licensed in
NC, WA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3623 Latrobe Dr Ste 216
Charlotte, NC 28211-2117
Phone: (704) 332-1291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 19020 33rd Ave W Ste 210, Lynnwood, WA 98036-4748 — (425) 563-1500

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 001001538 (NC)
Physician Assistant Taxonomy 363A00000X · Licence PA60528245 (WA)

Record details

NPI number1548425309
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 22, 2008
Last updated in NPPESJuly 2, 2021
Certification dateJuly 2, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Mecklenburg Radiology Associates Pa — 94 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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