RUBY MCCAIN (NPI# 1437530813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437530813 |
| Entity Type | Individual |
| Full Name | RUBY MCCAIN |
| Credential | NP |
| Practice Address |
2514 S 102nd St Ste 160 West Allis WI 53227-2142 |
| Mailing Address |
1200 W State St Rockford IL 61102-2112 |
| Practice Telephone | 4142550300 |
| Practice Fax Number | 4145439601 |
| Mailing Telephone | 8154901616 |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2016-09-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
6200-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
209012869 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
6200-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | NP LICENSE NUMBER | 6200-33 | 01 |
| Street Address |
2514 S 102ND ST STE 160 |
| City | WEST ALLIS |
| State | WI |
| Zip Code | 53227-2142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568437390 | Bernard Zaworski | Family Medicine | 2514 S 102nd St, Suite 160, West Allis, WI 53227-2142 | 2006-02-23 |
| 1861898090 | Iah of Wisconsin, Pllc | Family Medicine | 2514 S 102nd St, Ste. 160, West Allis, WI 53227-2142 | 2014-11-17 |
| 1982006417 | Leana Peterson | Nurse Practitioner | 2514 S 102nd St, Ste. 160, West Allis, WI 53227-2142 | 2014-09-16 |
| 1457789042 | Visiting Podiatry Pllc | Podiatrist | 2514 S 102nd St, Suite 160b, West Allis, WI 53227-2142 | 2013-10-17 |
| 1639492465 | Joseph Sous | Family Medicine | 2514 S 102nd St, Suite 160, West Allis, WI 53227-2142 | 2010-03-08 |
| 1285957324 | Richard Hammes Kennison | Podiatrist | 2514 S 102nd St, Suite 160b, West Allis, WI 53227-2142 | 2010-03-03 |
| 1477781102 | Sherif Naguib Gobrial | Internal Medicine | 2514 S 102nd St, Suite 160, West Allis, WI 53227-2142 | 2009-07-01 |
| 1033378641 | Hashim Sadig | Internal Medicine | 2514 S 102nd St, 160, West Allis, WI 53227-2142 | 2008-06-09 |
| 1669680385 | Mehboob M Qureshi | Internal Medicine | 2514 S 102nd St, Suite 160, West Allis, WI 53227-2142 | 2007-05-18 |
| 1679648356 | Sumit Verma | Family Medicine | 2514 S 102nd St, Suite 160, West Allis, WI 53227-2142 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205451564 | Ginger Renee Bland | Nurse Practitioner | 11133 W. National Avenue, West Allis, WI 53227 | 2020-06-12 |
| 1003312141 | Dynamic Medical Equipment, LLC | Durable Medical Equipment & Medical Supplies | 10236 W National Ave, West Allis, WI 53227 | 2018-04-05 |
| 1932572641 | Alissa Kristine Walker | Specialist/Technologist | 11601 W Lincoln Ave, West Allis, WI 53227 | 2015-11-03 |
| 1396155990 | Bradly Earl Helinski | Physical Therapy Assistant | 3023 S 84th St., Milwaukee, WI 53227 | 2014-05-05 |
| 1609299783 | Amy Renee Rozumalski | Occupational Therapy Assistant | 10150 W. National Ave, Suite 150, Premiere Medical Staffing Services, LLC, Milwaukee, WI 53227 | 2014-01-27 |
| 1497098438 | Kathleen Marie Schneider | Physical Therapy Assistant | 3023 S. 84th Street, Milwaukee, WI 53227 | 2013-03-28 |
| 1760723373 | Lee Ann Schraith | Physical Therapy Assistant | 3023 S. 84th St, Milwaukee, WI 53227 | 2013-03-06 |
| 1740520725 | Samantha Lynn Wozniak | Physical Therapist | 3023 S. 84th St., Milwaukee, WI 53227 | 2013-02-27 |
| 1831434901 | Andrew Paul Roeder | Physical Therapy Assistant | 3023 S. 89th Street, Milwaukee, WI 53227 | 2012-11-30 |
| 1538418116 | Christine Wilford | Social Worker | 2044 S 96th Street, West Allis, WI 53227 | 2012-08-29 |
| Find all providers in zip 53227 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790382323 | Melissa Marie O'hanison | Nurse Practitioner | 2424 S 90th St Ste 300, West Allis, WI 53227-2455 | 2020-10-06 |
| 1447892583 | Joleen Brewer | Nurse Practitioner | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2019-10-10 |
| 1659836609 | Herbert C Raasch | Nurse Practitioner | 11101 W Lincoln Ave, West Allis, WI 53227-1133 | 2019-02-04 |
| 1518439033 | Leah M Blakeman | Nurse Practitioner | 801 S 70th St, West Allis, WI 53214-3147 | 2018-12-21 |
| 1154873669 | Alyssa Tennies | Nurse Practitioner | 11211 W Lincoln Ave, West Allis, WI 53227-1035 | 2016-10-31 |
| 1346548153 | Jay Gerald East | Nurse Practitioner | 6737 W Washington St, Suite 2150, West Allis, WI 53214-5647 | 2011-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203857 | Tiera Manuel | Nurse Practitioner | 3956 N 28th St, Milwaukee, WI 53216-2637 | 2020-10-22 |
| 1801494778 | Tajana Jovicic | Nurse Practitioner | 3157 S 66th St, Milwaukee, WI 53219-4105 | 2020-10-13 |
| 1497352090 | Carlotta Williams | Nurse Practitioner | 1205 Juniper Ln, Oconomowoc, WI 53066-3100 | 2020-10-06 |
| 1932706611 | Rachel Sullivan | Nurse Practitioner | 304 E Northlawn Dr, Cottage Grove, WI 53527-8917 | 2020-10-05 |
| 1649877663 | Kirk O'hanison | Nurse Practitioner | 1020 Oconomowoc Pkwy Unit B, Oconomowoc, WI 53066-4616 | 2020-10-02 |
| 1780291401 | Carlie Dell | Nurse Practitioner | 1636 Industrial Pkwy N, Marinette, WI 54143-3703 | 2020-09-27 |
| 1093320459 | Tyronda T Gray | Nurse Practitioner | 5833 N 117th St, Milwaukee, WI 53225-2207 | 2020-09-12 |
| 1629683065 | Yia Lor | Nurse Practitioner | 3750 Summerset Way Apt 1, Oshkosh, WI 54901-0501 | 2020-09-11 |
| 1245844364 | Asia Ann Gomez | Nurse Practitioner | 2816 E Allison Ave, Cudahy, WI 53110-2541 | 2020-09-04 |
| 1861005837 | Clair Roser Rivera | Nurse Practitioner | 3734 W Ohio Ave, Milwaukee, WI 53215-4047 | 2020-08-28 |
| Find all providers with the same taxonomy | ||||
| City | WEST ALLIS |
| Zip Code | 53227 |
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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.