CHARLIE ALBERT RUKAB (NPI# 1275855926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275855926 |
| Entity Type | Individual |
| Full Name | CHARLIE ALBERT RUKAB |
| Credential | CNIM |
| Practice Address |
10420 Little Patuxent Pkwy Suite 250 Columbia MD 21044-3533 |
| Practice Telephone | 7132496492 |
| Mailing Telephone | 7132496492 |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2012-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
1888 | TX | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
10420 LITTLE PATUXENT PKWY SUITE 250 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447232079 | Thomas Eugene Conley | Psychiatry & Neurology | 10420 Little Patuxent Pkwy, Suite#250, Columbia, MD 21044-3533 | 2005-11-18 |
| 1558717298 | Lisa Moussa | Registered Nurse | 10420 Little Patuxent Pkwy, Columbia, MD 21044-3533 | 2016-05-12 |
| 1447361910 | Nuvasive Clinical Services Monitoring, Inc. | Specialist | 10420 Little Patuxent Pkwy, Suite 250, Columbia, MD 21044-3638 | 2006-08-31 |
| 1164446506 | Ruxton Supply Services, LLC | Durable Medical Equipment & Medical Supplies | 10420 Little Patuxent Pkwy, Suite 210, Columbia, MD 21044-3533 | 2006-07-27 |
| 1316929938 | Richard Arthur O'brien | Psychiatry & Neurology | 10420 Little Patuxent Pkwy, Suite 250, Columbia, MD 21044-3533 | 2005-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746084 | Midwest Monitoring LLC | Specialist/Technologist, Other | 5796 S Route K, Columbia, MO 65203-9152 | 2020-06-26 |
| 1134768484 | Vector Medical Inc | Specialist/Technologist, Other | 6851 Oak Hall Ln Ste 302, Columbia, MD 21045-5868 | 2020-01-04 |
| 1265987796 | Nadji Mitchell | Specialist/Technologist, Other | 11018 Wood Elves Way, Columbia, MD 21044 | 2016-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295272888 | Asif Sattar | Specialist/Technologist, Other | 7820 Paragon Cir Apt 113, Elkridge, MD 21075-6546 | 2017-01-20 |
| 1871038661 | Vertebral Neuromonitoring Associates, LLC | Specialist/Technologist, Other | 7820 Paragon Cir # 113, Elkridge, MD 21075-6546 | 2017-01-03 |
| 1699168567 | Precision Neuromonitoring, LLC | Specialist/Technologist, Other | 6600 York Rd Ste 210, Baltimore, MD 21212-2024 | 2015-03-16 |
| 1093002719 | Neuro-tech Inc | Specialist/Technologist, Other | 104 Victory Lane, Bel Air, MD 21014 | 2011-07-01 |
| 1821202748 | Greater New Jersey Neuromonitoring LLC | Specialist/Technologist, Other | 5 Village Ct, Bel Air, MD 21014-4013 | 2007-05-09 |
| 1750410320 | New York Neuromonitoring | Specialist/Technologist, Other | 217 East Churchville Road, Bel Air, MD 21014-4013 | 2007-03-02 |
| 1063564698 | Hanover Medical | Specialist/Technologist, Other | 217 E Churchville Rd, Bel Air, MD 21014-3825 | 2007-01-16 |
| 1841756368 | Delta Neurodiagnostic Inc | Specialist/Technologist, Other | 14099 Patterson Farm Ct, Glenelg, MD 21737-9768 | 2019-02-20 |
| 1043736796 | Anthony M Cusanelli | Specialist/Technologist, Other | 6600 York Rd Ste 210, Baltimore, MD 21212-2024 | 2017-08-15 |
| 1548797384 | Illuminate Monitoring Resources, LLC | Specialist/Technologist, Other | 325 Ellington Blvd, Pmb #458, Gaithersburg, MD 20878-4591 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHARLIE ALBERT RUKAB.
| 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.