MR. ROSS OLDENBURG (NPI# 1942362405) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942362405 |
| Entity Type | Individual |
| Full Name | MR. ROSS OLDENBURG |
| Credential | M.A. |
| Practice Address |
655 E Cedar Ave Gladwin MI 48624-2215 |
| Practice Telephone | 9894269295 |
| Practice Fax Number | 9894262251 |
| Mailing Telephone | 9894269295 |
| Mailing Fax Number | 9894262251 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
6301006898 | MI | Behavioral Health & Social Service Providers |
| Street Address |
655 E CEDAR AVE |
| City | GLADWIN |
| State | MI |
| Zip Code | 48624-2215 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487668232 | Sara Marie Miceli-sorensen | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2006-07-28 |
| 1225669542 | Juliette Leilani Nielsen | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2020-01-27 |
| 1376193359 | Elizabeth Ann Scott | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2019-09-12 |
| 1235789223 | Corey William Hartwell | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2019-09-12 |
| 1932756996 | Ferren Nicole Rittenburg | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2019-08-23 |
| 1669949384 | Brenda Jean Mather | Counselor | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2018-10-31 |
| 1427554328 | Ester Jean Smith | Social Worker | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2018-04-01 |
| 1790229813 | Jon Guckian | Peer Specialist | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2016-12-08 |
| 1235672056 | Ruth Johnson | Peer Specialist | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2016-11-28 |
| 1821450719 | Sara Jean Wuelfing | Registered Nurse | 655 E Cedar Ave, Gladwin, MI 48624-2215 | 2016-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558889162 | Jacob Cameron Shell | Specialist/Technologist | 4403 Betty Lee Blvd, Gladwin, MI 48624 | 2017-09-03 |
| 1750704268 | Monica Maebel Weaver | Licensed Practical Nurse | 1426 North St. Street, Affordable Nursing Inc, Gladwin, MI 48624 | 2014-02-04 |
| 1417397407 | Richard Allen White | Registered Nurse | 655 East Cedar Avenue, Gladwin, MI 48624 | 2013-07-05 |
| 1023453040 | Amy Rebecca Brockschmidt | Counselor | Ten16 Recovery Network, 1302 Chatterton St. 2, Gladwin, MI 48624 | 2013-05-03 |
| 1447558341 | Erika Dianis | Psychologist | 655 E. Cedar Ave., Gladwin, MI 48624 | 2011-03-02 |
| 1457519456 | Bont & Medical Products Inc | Durable Medical Equipment & Medical Supplies | 895 N M18 Suite 2, Gladwin, MI 48624 | 2008-05-27 |
| 1346424454 | Regional Dialysis Services Inc | Clinic/Center | 673 Quarter Street, Gladwin, MI 48624 | 2007-12-26 |
| 1548476070 | Sambamurti . Srinivasan | Family Medicine | 602 Riverview Ct, Gladwin, MI 48624 | 2007-05-14 |
| 1295957850 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 1234 W Cedar Ave, Gladwin, MI 48624 | 2007-05-03 |
| 1710063755 | Janet Flynn | Registered Nurse | 1207 N Spring St, Gladwin, MI 48624 | 2006-10-31 |
| Find all providers in zip 48624 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447558341 | Erika Dianis | Psychologist | 655 E. Cedar Ave., Gladwin, MI 48624 | 2011-03-02 |
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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.