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

Scott Lewis Ruggles, MD

Individual provider Colon & Rectal Surgery Physician · NPI 1174636062

Scott Lewis Ruggles, MD is a Colorectal Surgery (Proctology) in Green Bay, Wisconsin. Graduated from Georgetown University School of Medicine in 1996, 30 years ago. Practices with St Vincent Hospital-Hospital Sisters-Third Order of St Francis, a 594-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
30
Trained at
Georgetown University School of Medicine
Licensed in
WI
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

835 S Van Buren St
Green Bay, WI 54301-3526
Phone: (920) 433-0111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 670 Cormier Road, Green Bay, WI 54304-4824 — (920) 494-9685

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 44472 (WI)

Record details

NPI number1174636062
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2006
Last updated in NPPESMarch 7, 2023
Certification dateMarch 6, 2020
Mailing address670 Cormier Road, Green Bay, WI 54304-4824

Medicare enrollment

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

Medicare specialtyCOLORECTAL SURGERY (PROCTOLOGY)
Also practisesGENERAL SURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice St Vincent Hospital-Hospital Sisters-Third Order Of St Francis — 594 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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