CYNTHIA K RUBERT (NPI# 1023074960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023074960 |
| Entity Type | Individual |
| Full Name | CYNTHIA K RUBERT |
| Other Name | CYNTHIA K RUBERT |
| Credential | MD |
| Practice Address |
2585 W Houghton Lake Dr Prudenville MI 48651-9624 |
| Practice Telephone | 9893662900 |
| Practice Fax Number | 9893661166 |
| Mailing Telephone | 9893662900 |
| Mailing Fax Number | 9893661166 |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2012-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 4301073701 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4120123 | 05 | |
| MI | BXBS | 200650032 | 01 |
| Street Address |
2585 W HOUGHTON LAKE DR |
| City | PRUDENVILLE |
| State | MI |
| Zip Code | 48651-9624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790209161 | Tammy Marie Milbocker | Nurse Practitioner | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2017-07-27 |
| 1952779555 | Devinn L Jeffers | Physician Assistant | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-09-13 |
| 1952787129 | Munson Healthcare Grayling | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-08-10 |
| 1275914244 | Nicholas William Blank | Family Medicine | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2015-06-15 |
| 1144626052 | Munson Healthcare Grayling | Clinic/Center | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2014-11-05 |
| 1184977811 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2012-10-18 |
| 1942561964 | Amanda Catherine Scott | Nurse Practitioner | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2012-06-06 |
| 1487974184 | James Gee | Internal Medicine | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2010-06-03 |
| 1346481553 | Mercy Hospital Grayling | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2009-03-18 |
| 1154571438 | Mhsn Primary Care Services | Psychologist | 2585 W Houghton Lake Dr, Prudenville, MI 48651-9624 | 2008-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710469036 | Stephenie Irish | Behavior Technician | Rise Center for Autism, 1840 West Houghton Lake Dr Unit 2, Prudenville, MI 48651 | 2018-09-04 |
| 1083965404 | Mercy Physician Network | Clinic/Center | 2585 W Houghton Lake Drive, Prudenville, MI 48651 | 2012-09-25 |
| 1609976968 | Kronner Pharmacy Inc | Pharmacy | 778 W Houghton Lake Dr, Prudenville, MI 48651 | 2006-09-25 |
| 1255352936 | Mclaren Primary Care | Family Medicine | 200 N. Grand Ave, Prudenville, MI 48651 | 2006-07-21 |
| 1053381871 | Marvin Earl Mcelroy | Internal Medicine | 1064 W West Branch Rd, Prudenville, MI 48651 | 2006-01-24 |
| 1598390080 | Rhiannon Burch | Behavior Technician | Rise Center for Autism, 1070 W. Houghton Lake Drive, Prudenville, MI 48651 | 2020-03-05 |
| 1629357090 | Mclaren Bay Region | Nurse Practitioner | 200 Grand Ave, Prudenville, MI 48651 | 2011-08-16 |
| 1427320894 | Patricia Henning Caswell | Counselor | 1401 Short Dr., Prudenville, MI 48651-0019 | 2012-02-01 |
| 1023015104 | Suzanne A Blanchard | Nurse Practitioner | 1401 Short Drive, Prudenville, MI 48651-0019 | 2005-07-05 |
| 1023640992 | Julie Ignatowski | Speech-Language Pathologist | 847 Springwood Dr, Prudenville, MI 48651-8405 | 2020-02-10 |
| Find all providers in zip 48651 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805365 | Conner D Ahlgren | Orthopaedic Surgery | 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073-6770 | 2020-06-09 |
| 1063035319 | Alex Kane Miller | Orthopaedic Surgery | 3577 W 13 Mile Rd Ste 402, Royal Oak, MI 48073-6710 | 2020-05-21 |
| 1396374716 | Arjun Patel | Orthopaedic Surgery | Ascension Genesys, Gme Dept, One Genesys Pkwy, Grand Blanc, MI 48439-4843 | 2020-04-07 |
| 1346876711 | Timothy Curtis Mead | Orthopaedic Surgery | 4752 Lake Harbor Rd, Norton Shores, MI 49441-5236 | 2020-03-18 |
| 1932751112 | Mendelson Warren Pharmacy | Orthopaedic Surgery | 11900 E 12 Mile Rd Ste 105, Warren, MI 48093-3487 | 2019-07-09 |
| 1023678059 | Th Mg Ohio LLC | Orthopaedic Surgery | 1050 Wilshire Dr Ste 300, Troy, MI 48084-1526 | 2019-06-20 |
| 1609430321 | Mohamed Saad-waterworks, PC | Orthopaedic Surgery | 21031 Michigan Ave Fl 2, Dearborn, MI 48124-2339 | 2019-04-29 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| 1588228845 | Muhammad Talha Padela | Orthopaedic Surgery | 3990 John R St Ste 7b, Detroit, MI 48201 | 2019-04-23 |
| 1134681125 | Neuro Spine Institute Pllc | Orthopaedic Surgery | 29255 Northwestern Hwy Ste 202, Southfield, MI 48034-5741 | 2019-04-01 |
| Find all providers with the same taxonomy | ||||
| City | PRUDENVILLE |
| Zip Code | 48651 |
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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.