MR. KENNETH MARTIN RUBIN (NPI# 1477854214) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477854214 |
| Entity Type | Individual |
| Full Name | MR. KENNETH MARTIN RUBIN |
| Credential | NP |
| Practice Address |
410 N Willowbrook Rd Coldwater MI 49036-9462 |
| Practice Telephone | 5172799599 |
| Practice Fax Number | 5172791679 |
| Mailing Telephone | 5172799599 |
| Mailing Fax Number | 5172791679 |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 4704227776 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | NURSE PRACTITIONER | 4704227776 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699881896 | Kenneth J Rubin | Psychiatry & Neurology | 170 Morris Ave, D, Long Branch, NJ 07740-8214 | 2006-08-21 |
| 1659939262 | Kenneth Rubin | Physical Therapist | 35 River Rd, Cos Cob, CT 06807-2759 | 2019-05-30 |
| 1285668665 | Kenneth Alvin Rubin | Specialist | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 | 2006-07-10 |
| 1053357798 | Kenneth R Rubin | Emergency Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2006-06-21 |
| 1851344618 | Kenneth P Rubin | Specialist | 420 Grand Ave, Suite 101, Englewood, NJ 07631-4152 | 2006-05-19 |
| 1902895006 | Kenneth H Rubin | Dentist | 30 E 40th St, Suite 207, New York, NY 10016-1201 | 2005-10-20 |
| Street Address |
410 N WILLOWBROOK RD |
| City | COLDWATER |
| State | MI |
| Zip Code | 49036-9462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689649055 | Richard John Hartman Jr. | Orthopaedic Surgery | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2006-02-21 |
| 1932726908 | Max M Patterson | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2020-06-25 |
| 1871977884 | Heather L Green | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2015-07-20 |
| 1528494911 | Brittany Leigh Hartman | Nurse Practitioner | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2013-09-18 |
| 1497004220 | Ashley M Clemons | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2012-09-07 |
| 1962751537 | Albert J Neukom IIi | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2012-08-29 |
| 1902185044 | Philip David Walbright | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2011-08-08 |
| 1043527781 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2010-09-01 |
| 1831421528 | The Famiily Practice and Orthopedic Care Center, P.C. | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2010-02-04 |
| 1861720831 | Family Practice & Orthopedic Care Center P.C. | Specialist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2009-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295790 | Jacqueline Hensell | Physical Therapist | 320 East Chicago St, Coldwater, MI 49036 | 2018-11-27 |
| 1285104869 | Jaycie Rose Littley | Physical Therapist | 320 E Chicago Street, Coldwater, MI 49036 | 2018-11-27 |
| 1881161651 | David Linklater | Physical Therapist | Promedica Coldwater Regional Hospital, 274 East Chicago Street, Coldwater, MI 49036 | 2018-10-30 |
| 1144733734 | Luke Norcross | Social Worker | 200 Vista Drive, Coldwater, MI 49036 | 2017-11-06 |
| 1508312471 | Tiffany Vanluven | Rehabilitation Practitioner | 528 West Chicago St. Atp13, Coldwater, MI 49036 | 2016-08-30 |
| 1477904175 | Shawn Talbot | Psychologist | 300 Orleans Blvd, Coldwater, MI 49036 | 2016-06-24 |
| 1124406863 | Alexys Wolfinger | Rehabilitation Practitioner | 528 W. Chicago St. Apt. 20, Coldwater, MI 49036 | 2015-05-14 |
| 1194118968 | Kim Clemens | Rehabilitation Practitioner | 465 N Michigan Ave., Coldwater, MI 49036 | 2015-03-18 |
| 1205238854 | Coldwater Family Dentistry P.C. | Dentist | 575 N Union City Road, Coldwater, MI 49036 | 2014-09-25 |
| 1114337581 | Johnson Kattathra | Pharmacist | 620 E Chicago St, Coldwater, MI 49036 | 2014-05-06 |
| Find all providers in zip 49036 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770007452 | Blake Andrew Embrey | Nurse Practitioner | 423 Central Avenue, Coldwater, MS 38618 | 2017-08-03 |
| 1194714824 | Lubov Fry | Nurse Practitioner | 892 E Chicago St Ste C, Coldwater, MI 49036-2063 | 2005-10-15 |
| 1942695929 | Tara Puckett | Nurse Practitioner | 423 Central Ave, Coldwater, MS 38618-3915 | 2015-04-06 |
| 1104231034 | Betty Delong | Nurse Practitioner | 358 E Chicago St, Suite 203, Coldwater, MI 49036-2072 | 2014-06-30 |
| 1528494911 | Brittany Leigh Hartman | Nurse Practitioner | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2013-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154599 | Kelly Phuong Doan | Nurse Practitioner | 27327 23 Mile Rd, Chesterfield, MI 48051-2045 | 2020-11-04 |
| 1275133217 | Maureen Mae Lewis | Nurse Practitioner | 2782 N Coleman Rd, Coleman, MI 48618-9721 | 2020-10-29 |
| 1073113460 | Taylor L Pichette | Nurse Practitioner | 758 Lucille Dr, Wolverine Lake, MI 48390-2327 | 2020-10-27 |
| 1295333938 | Amanda Covell | Nurse Practitioner | 624 Cherry St Se Apt 5, Grand Rapids, MI 49503-4778 | 2020-10-14 |
| 1689271314 | Nicole Conklin | Nurse Practitioner | 524 Doyle Rd, Laingsburg, MI 48848-9611 | 2020-10-06 |
| 1447857677 | Shelby Lynn Waibel | Nurse Practitioner | 560 W Mitchell St Ste 210, Petoskey, MI 49770-2276 | 2020-10-01 |
| 1497361638 | Amira Aljamal | Nurse Practitioner | 4601 Shenandoah Ave, Allen Park, MI 48101-3131 | 2020-09-22 |
| 1659987014 | Sean Thomas Kane | Nurse Practitioner | 13734 Parallel Ave, Alpena, MI 49707-7987 | 2020-09-21 |
| 1235743592 | Mojica, LLC | Nurse Practitioner | 4163 W Pointe Dr, Waterford, MI 48329-4648 | 2020-09-03 |
| 1942812094 | Meagan James | Nurse Practitioner | 407 E Huron River Dr, Belleville, MI 48111-2763 | 2020-08-20 |
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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.