STEPHANIE ANN RUDEN (NPI# 1679051536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679051536 |
| Entity Type | Individual |
| Full Name | STEPHANIE ANN RUDEN |
| Credential | PA-C |
| Practice Address |
5950 University Ave West Des Moines IA 50266-8216 |
| Mailing Address |
19149 Roosevelt Ave Remsen IA 51050-8785 |
| Practice Telephone | 5158759800 |
| Mailing Telephone | 7125406077 |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 092569 | IA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 1149 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 19149 Roosevelt Ave, Remsen, IA 510508785 | 7125406077 |
| Street Address |
5950 UNIVERSITY AVE |
| City | WEST DES MOINES |
| State | IA |
| Zip Code | 50266-8216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861499162 | Katherine Maurer | Physical Therapist | 5950 University Ave, Ste 285, West Des Moines, IA 50266 | 2005-06-30 |
| 1265886121 | Jillalice Hoakison | Physical Therapist | 5950 University Ave, Suite 285, West Des Moines, IA 50266-8216 | 2016-04-18 |
| 1508234329 | The Iowa Clinic, PC | Durable Medical Equipment & Medical Supplies | 5950 University Ave, Ste 105, West Des Moines, IA 50266 | 2015-09-10 |
| 1659747160 | Karla Stapes | Nurse Practitioner | 5950 University Ave, Suite 280, West Des Moines, IA 50266 | 2015-08-19 |
| 1295125136 | Natalie Florio | Physical Therapist | 5950 University Ave, Ste 285, West Des Moines, IA 50266-8216 | 2015-01-30 |
| 1699172817 | The Iowa Clinic, PC | Pharmacy | 5950 University Ave, West Des Moines, IA 50266 | 2014-12-03 |
| 1568882934 | Jun Xu | Anesthesiology | 5950 University Ave, West Des Moines, IA 50266-8216 | 2014-04-23 |
| 1992041305 | Erin Tracy | Nurse Practitioner | 5950 University Ave, Ste 131, West Des Moines, IA 50266 | 2012-12-13 |
| 1033461462 | Pier Louise Osweiler | Nurse Practitioner | 5950 University Ave, Ste 280, West Des Moines, IA 50266-8216 | 2012-10-09 |
| 1144577263 | Dawn M Eastman | Nurse Practitioner | 5950 University Ave, Ste 151, West Des Moines, IA 50266-8216 | 2012-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1730733205 | Erin Allyn Fiala | Counselor | 1200 Valley West Dr Suite 508, West Des Moines, IA 50266 | 2019-08-01 |
| 1598325151 | Cornerstone Pediatrics and Family Allergy, Plc | Pediatrics | 6800 Lake Drive, #260, West Des Monies, IA 50266 | 2019-06-17 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1326517400 | Merit Hearing LLC | Audiologist-Hearing Aid Fitter | 2910 Westown Pkwy Ste 110, West Des Moines, IA 50266 | 2018-11-18 |
| 1699253807 | Diamond Home Health Care Services | Home Health | 4949 Weston Pkwy Ste 165 #836, West Des Moines, IA 50266 | 2018-07-31 |
| 1285129932 | Hy Vee Inc | Pharmacy | 375 South Jordan Creek Parkway, West Des Moines, IA 50266 | 2018-06-26 |
| 1669965208 | Rx Precision, Inc. | Case Management | 6205 Mills Civic Pkwy Ste 201, West Des Moines, IA 50266 | 2018-06-08 |
| 1912406588 | Cora Schuhmacher, Psy.d., Pllc | Psychologist | 1045 76th St Unit 3030, West Des Moines, IA 50266 | 2018-02-08 |
| 1508374778 | Brian L Bentley | Counselor | 5500 Wild Rose Lane, Suite 400, West Des Moines, IA 50266 | 2018-01-22 |
| Find all providers in zip 50266 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013544667 | Annie Penquite | Physician Assistant | 6001 Westown Pwky, West Des Moines, IA 50266 | 2020-03-24 |
| 1861836975 | Norbel Auxiliadora Brautigam | Physician Assistant | 6000 University Ave Ste 300, West Des Moines, IA 50266-8200 | 2013-04-19 |
| 1437498300 | Whitney Lynn Vogt | Physician Assistant | 180 Jordan Creek Pkwy Ste 120, West Des Moines, IA 50266-8490 | 2013-02-12 |
| 1548510373 | Ashlee J Reetz | Physician Assistant | 6600 Westown Pkwy Ste 220, West Des Moines, IA 50266-7710 | 2012-09-19 |
| 1639434046 | Brett Stewart | Physician Assistant | 6000 University Ave Ste 101, West Des Moines, IA 50266-8201 | 2012-07-11 |
| 1760760201 | Sara Colette Glover | Physician Assistant | 6000 University Ave Ste 124, West Des Moines, IA 50266-8200 | 2011-08-02 |
| 1043441264 | Katherine Ann Blomgren | Physician Assistant | 6000 University Ave Ste 350, West Des Moines, IA 50266-8294 | 2009-08-05 |
| 1922171578 | Elisabeth A Jeffords | Physician Assistant | 6001 Westown Pkwy Ste 101, West Des Moines, IA 50266-7702 | 2006-11-15 |
| 1265545420 | Christy K Haack | Physician Assistant | 2425 Westown Pkwy, West Des Moines, IA 50266-1425 | 2006-08-15 |
| 1326090366 | Ben G Vance | Physician Assistant | 5950 University Ave Ste 105, West Des Moines, IA 50266 | 2006-05-17 |
| Find all providers in WEST DES MOINES | ||||
| City | WEST DES MOINES |
| Zip Code | 50266 |
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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.