BRYAN RUBACH M D SC (NPI# 1306854583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306854583 |
| Entity Type | Organization |
| Organization Name | BRYAN RUBACH M D SC |
| Other Organization Name | MIDWEST ENT ASSOCIATES S C |
| Practice Address |
1256 Waterford Dr Suite 170 Aurora IL 60504-4510 |
| Practice Telephone | 6308208653 |
| Practice Fax Number | 6308207238 |
| Mailing Telephone | 6308208653 |
| Mailing Fax Number | 6308207238 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2008-08-13 |
| Authorized Official Name | MICHELLE SABON (OFFICE MANAGER) |
| Authorized Official Telephone | 6308208653 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BCBS | 4506907 | 01 |
| IL | RAIL ROAD MEDICARE | 040008621 | 01 |
| AETNA | 7642444 | 01 |
| Other Name | Type Code |
|---|---|
| Midwest ENT Associates S C | Other Name - Individual/Organization |
| Street Address |
1256 WATERFORD DR SUITE 170 |
| City | AURORA |
| State | IL |
| Zip Code | 60504-4510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689618290 | Syed Zaidi | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4511 | 2006-06-15 |
| 1003389503 | Edita Aurelia Danaiata | Registered Nurse | 1256 Waterford Dr, Aurora, IL 60504-4510 | 2019-01-07 |
| 1629476254 | Corey William Weir | Counselor | 1256 Waterford Dr, #140, Aurora, IL 60504-4510 | 2014-12-14 |
| 1033543871 | Amy L Coleman | Social Worker | 1256 Waterford Dr, Suite 140, Aurora, IL 60504-4510 | 2013-08-28 |
| 1104250067 | Waterford Counseling and Psychological Services, Ltd | Counselor | 1256 Waterford Dr, Suite 140, Aurora, IL 60504-4510 | 2013-08-28 |
| 1720427214 | Brandie Remke | Social Worker | 1256 Waterford Dr, Suite 140, Aurora, IL 60504-4510 | 2013-06-18 |
| 1992084255 | Midwest Hearing Health | Specialist | 1256 Waterford Dr, Suite170, Aurora, IL 60504-4510 | 2011-08-04 |
| 1477831220 | Rush-copley Medical Group | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4510 | 2011-07-28 |
| 1093018285 | Tommy Pacana | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4510 | 2010-12-10 |
| 1366562480 | Southwest Digestive Diseases Consultants S C | Internal Medicine | 1256 Waterford Dr, Suite 120, Aurora, IL 60504-4511 | 2007-03-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134631039 | Kamala Lakshmipathy | Physical Therapist | 2021 Randi Drive, Aurora, IL 60504 | 2017-10-31 |
| 1891211710 | Kenneth Vicencio | Clinical Neuropsychologist | 4100 Healthway Drive, Aurora, IL 60504 | 2017-08-22 |
| 1316499023 | Wilcox and Wilcox, Inc | Home Health | 75 Executive Drive, Suite 301, Aurora, IL 60504 | 2016-10-28 |
| 1518315241 | Kinsley Jin | Family Medicine | Rush-copley Family Medicine Center 2020 Ogden Avenue, Suite 330, Aurora, IL 60504 | 2016-06-03 |
| 1609224211 | Empower Health Services, LLC | Clinic/Center | 4205 Westbrook Dr, Aurora, IL 60504 | 2016-05-25 |
| 1275907883 | Lolita Lajoyce Norris | Private Vehicle | 235 Kirkland Ln, Aurora, IL 60504 | 2015-11-19 |
| 1972917557 | Elizabeth Sledge | Occupational Therapist | 1000 Celebration Dr, Aurora, IL 60504 | 2014-06-11 |
| 1962840330 | Sparc Chiropractic, P.C. | Chiropractor | 800-2 Frontenac Road, #2, Aurora, IL 60504 | 2013-06-07 |
| 1932451952 | Illinois Health Resources Inc | Physical Therapist | 1240 S Commons Dr, Aurora, IL 60504 | 2012-10-15 |
| 1376894501 | Rush-copley Medical Group | Family Medicine | 2040 Ogden Ave., Suite 304, Aurora, IL 60504 | 2012-09-27 |
| Find all providers in zip 60504 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881093 | Lori Lea Samuelson | Specialist | 2481 S Xanadu Way Unit A, Aurora, CO 80014-2141 | 2020-11-03 |
| 1891236253 | Dwight Swift | Specialist | 7568 S Quatar Way, Aurora, CO 80016-7119 | 2017-03-17 |
| 1881132157 | 1st Allergy Asthma and Pediatrics Too, Inc. | Specialist | 15470 E Smoky Hill Road, Aurora, CO 80015 | 2017-02-07 |
| 1447604244 | Heather Brox | Specialist | 6155 S Main St # E101, Aurora, CO 80016-5363 | 2016-04-18 |
| 1902262900 | Nakeisha Hill | Specialist | 3587 S Joplin St, Aurora, CO 80013-2432 | 2016-01-06 |
| 1770967986 | Amber Medina | Specialist | 17784 E Arizona Pl, Aurora, CO 80017-4313 | 2015-07-17 |
| 1659754687 | Kathleem Brough | Specialist | 3718 S Himalaya Way, Aurora, CO 80013-6621 | 2015-07-08 |
| 1598147688 | Sarah Gleason | Specialist | 1224 Ironton St, Aurora, CO 80010-3415 | 2015-06-24 |
| 1174903819 | Moses Abraha | Specialist | 950 S Cimarron Way Apt K201, Aurora, CO 80012-4980 | 2015-06-08 |
| 1821496225 | Carla Potvin | Specialist | 6066 S Shawnee St, Aurora, CO 80015-4585 | 2014-12-17 |
| Find all providers in AURORA | ||||
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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.