Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Samadhy Ruiz, PA-C

Individual provider Physician Assistant · NPI 1023093754

Mrs. Samadhy Ruiz, PA-C is a Physician Assistant in Glendale, Arizona. Qualified in 2004, 22 years ago. Practices with Banner Cancer Center Specialists LLC, a 338-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.

Years since qualifying
22
Licensed in
AZ
In the registry since
2005
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

5750 W Thunderbird Ave Ste B- 200
Glendale, AZ 85306-4660
Phone: (602) 375-1700
Fax: (602) 843-2847
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3183 (AZ)

Record details

NPI number1023093754
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 15, 2005
Last updated in NPPESSeptember 22, 2020
Certification dateSeptember 22, 2020

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Banner Cancer Center Specialists Llc — 338 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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