MR. ELIAS OMAR RUILOBA (NPI# 1124014196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124014196 |
| Entity Type | Individual |
| Full Name | MR. ELIAS OMAR RUILOBA |
| Other Name | E OMAR RUILOBA |
| Credential | MD |
| Practice Address |
2002 N Stockton Hill Rd #104 Kingman AZ 86401-4698 |
| Mailing Address |
1743 Sycamore Ave Kingman AZ 86409-0927 |
| Practice Telephone | 9287184800 |
| Practice Fax Number | 9287573256 |
| Mailing Telephone | 9287578111 |
| Mailing Fax Number | 9287573256 |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2011-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25458 | AZ | Allopathic & Osteopathic Physicians |
| Street Address |
2002 N STOCKTON HILL RD #104 |
| City | KINGMAN |
| State | AZ |
| Zip Code | 86401-4698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174860290 | Leellen Lou Anderson | Counselor | 2002 N Stockton Hill Rd, Kingman, AZ 86401-4698 | 2013-01-09 |
| 1225374515 | Barbara J Wanland | Counselor | 2002 N Stockton Hill Rd, Kingman, AZ 86401-4698 | 2012-12-14 |
| 1578586806 | John J Pierce | Emergency Medicine | 2002 N Stockton Hill Rd, Suite 103, Kingman, AZ 86401-4698 | 2006-07-26 |
| 1639195365 | Jose L Gochoco | Emergency Medicine | 2002 N Stockton Hill Rd, Suite 102, Kingman, AZ 86401-4698 | 2006-07-14 |
| 1558387845 | Twin Peaks Medical Associates Pllc | Clinic/Center | 2002 N Stockton Hill Rd, Suite 103, Kingman, AZ 86401-4698 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053858704 | Robert Cole | Nurse Practitioner | 3545 Cheyenne Ave, King,an, AZ 86401 | 2017-01-19 |
| 1710420286 | Acadia Healthcare Inc | Nurse Practitioner | 2699 E Andy Devine, Suite B, Kingman, AZ 86401 | 2016-11-30 |
| 1174079800 | Kenneth Mcadow | Physical Therapist | 2404 Stockton Hill Road, Suite K, Kingman, AZ 86401 | 2016-09-01 |
| 1649659483 | Tracie Hirz | Case Manager/Care Coordinator | 3656 Packsaddle Road, Kingman, AZ 86401 | 2015-05-27 |
| 1548657695 | Chelsea Presbrey | Family Medicine | 2202 N Stockton Hill Rd Ste 100, Kingman, AZ 86401 | 2015-04-15 |
| 1649617226 | Abubakr Abdelmunim Tagelsir Abdelaziz | Internal Medicine | 2501 N Stockton Hill Rd Ste 102, Kingman, AZ 86401 | 2013-05-23 |
| 1205173325 | Patricia Jean Marko | Social Worker | 2002 Stockton Hill Road, Mohave Mental Health Clinic, Inc., Kingman, AZ 86401 | 2013-01-09 |
| 1770835316 | Hae Young Lee | Dentist | 2058 Maya Dr., Kingman, AZ 86401 | 2012-10-05 |
| 1255681623 | Hilary Radler | Specialist/Technologist | 3033 Macdonald, Kingman, AZ 86401 | 2012-09-13 |
| 1477836880 | Goodwill of Northern Arizona | Exclusive Provider Organization | 2369 Airway Avenue, Kingman, AZ 86401 | 2011-09-21 |
| Find all providers in zip 86401 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700872488 | Ernest Lavere Harman Jr. | Psychiatry & Neurology | 5036 Stockton Hill Rd, Kingman, AZ 86409-1127 | 2005-09-27 |
| 1801882972 | Narcedallia Miriam Zegarra | Psychiatry & Neurology | 3505 Western Ave, Kingman, AZ 86409-3011 | 2005-09-23 |
| 1699027201 | Ernest L Harman Md Zia Way LLC | Psychiatry & Neurology | 5036 Stockton Hill Rd, Kingman, AZ 86409-1127 | 2012-10-05 |
| 1760611677 | Gerhard Francois Gomez | Psychiatry & Neurology | 1741 Sycamore Ave, Kingman, AZ 86409-0927 | 2009-07-13 |
| 1821120288 | Martha Michalski Mann | Psychiatry & Neurology | 1743 Sycamore Ave, Kingman, AZ 86409-0927 | 2007-03-12 |
| 1780752816 | Celia Rodriguez | Psychiatry & Neurology | 1741 Sycamore Ave, Kingman, AZ 86409-0927 | 2006-11-30 |
| 1407867294 | Laurence David Seltzer | Psychiatry & Neurology | 1743 Sycamore Ave, Kingman, AZ 86409-0927 | 2006-08-10 |
| 1326016296 | Sirpa A Tavakoli | Psychiatry & Neurology | 1743 Sycamore Ave, Kingman, AZ 86409-0927 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508466244 | Adam Colbert Md, Pllc | Psychiatry & Neurology | 2550 E River Rd Unit 13205, Tucson, AZ 85718-9527 | 2020-10-30 |
| 1629689922 | Cerebro Wellness LLC | Psychiatry & Neurology | 3031 W Northern Ave Ste 109, Phoenix, AZ 85051-6695 | 2020-08-11 |
| 1972121218 | Laxus Integrated Health Solutions LLC | Psychiatry & Neurology | 11225 N 28th Dr Ste A102-4, Phoenix, AZ 85029-5606 | 2020-07-13 |
| 1174148076 | Spark Healthcare LLC | Psychiatry & Neurology | 8906 North 80th Place, Scottsdale, AZ 85258-2132 | 2020-06-16 |
| 1184257032 | Actify Neurotherapies, Pllc | Psychiatry & Neurology | 10720 W Indian School Rd Ste 19, Phoenix, AZ 85037-5799 | 2020-02-19 |
| 1851922512 | Mettamerica | Psychiatry & Neurology | 600 E State Highway 260 Ste 2, Payson, AZ 85541-4967 | 2020-01-31 |
| 1003470840 | Katherine Cheeves Md, Pllc | Psychiatry & Neurology | 141 S Mccormick St Ste 112, Prescott, AZ 86303-4730 | 2019-04-26 |
| 1336702448 | Julie Tomkins | Psychiatry & Neurology | Behavioral Health Pavilion, 2800 E Ajo Way, Tucson, AZ 85713 | 2019-04-16 |
| 1053974071 | Siddesh Gopalakrishnan | Psychiatry & Neurology | Department of Psychiatry, Bhp, 2800 E. Ajo Way, Tucson, AZ 85713-6204 | 2019-04-16 |
| 1124681358 | Alexander Paul Lang | Psychiatry & Neurology | 2800 E Ajo Way Dept Of, Tucson, AZ 85713-6204 | 2019-04-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.