DR. RUDY HARTONO TAAREA (NPI# 1336121862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336121862 |
| Entity Type | Individual |
| Full Name | DR. RUDY HARTONO TAAREA |
| Credential | MD |
| Practice Address |
511 Brantley St Opp AL 36467-1702 |
| Practice Telephone | 3344933240 |
| Mailing Telephone | 3344933240 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2012-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
AL19483 | AL | Allopathic & Osteopathic Physicians |
| Street Address |
511 BRANTLEY ST |
| City | OPP |
| State | AL |
| Zip Code | 36467-1702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003898396 | Steven J Davis Sr. | Family Medicine | 511 Brantley St, Opp, AL 36467-1702 | 2005-11-14 |
| 1568088862 | Hyperbaric & Woundcare Inc | Preventive Medicine | 511 Brantley St, Opp, AL 36467-1702 | 2020-06-23 |
| 1376836106 | Tonya L Pelham | Nurse Practitioner | 511 Brantley St, Opp, AL 36467-1702 | 2011-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699146548 | Still Waters Msssage | Massage Therapist | 1800 W Cummings Ave, Opp, AL 36467 | 2015-10-16 |
| 1609245034 | Kellie Victoria King | Massage Therapist | 1800 West Cummings Avenue, Opp, AL 36467 | 2015-09-16 |
| 1912327099 | George Lawrence Arnett | Hearing Instrument Specialist | 2123 Highway 84 West, Opp, AL 36467 | 2014-04-16 |
| 1811313042 | Quality Hearing Center LLC | Hearing Instrument Specialist | 2123 Hwy 84 W., Opp, AL 36467 | 2014-03-12 |
| 1346372505 | Jeffrey Harold Worley | Dentist | 403 N Brantley St, Opp, AL 36467 | 2007-03-12 |
| 1649210600 | Opp Health and Rehabilitation, LLC | Skilled Nursing Facility | 115 Paulk Ave, Opp, AL 36467 | 2006-06-07 |
| 1770616989 | Joshua Driver PC | Optometrist | 604 N Main St Ste A, Opp, AL 36467-1600 | 2007-03-14 |
| 1932653722 | Andrew Scott Carter | Optometrist | 604 N Main St, Opp, AL 36467-1600 | 2016-08-09 |
| 1972679033 | Joshua Jonathan Driver | Optometrist | 604 N Main St, Suite A, Opp, AL 36467-1600 | 2006-11-28 |
| 1649355280 | Charles M Burgess Jr. | Dentist | 104 E Gunter Ave, Opp, AL 36467-1604 | 2006-10-25 |
| Find all providers in zip 36467 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316173206 | Robert Noback | Preventive Medicine | 301 Dustoff Ave, Ft. Rucker, AL 36330 | 2009-06-05 |
| 1386617280 | Lawrence G. Shory | Preventive Medicine | 5401 E Lake Blvd, 117mdg, Birmingham, AL 35217-3545 | 2006-02-10 |
| 1669453767 | John Campbell | Preventive Medicine | 805 E Lee St Ste C, Enterprise Clinic, LLC/dba Enterprise Express Care, Enterprise, AL 36330-2477 | 2005-11-07 |
| 1669463204 | Eric Wayne Olins | Preventive Medicine | Bldg 110, 6th Avenue, Us Army Aeromedical Activity, Fort Rucker, AL 36362 | 2005-11-02 |
| 1407845589 | Craig Brian Collier | Preventive Medicine | 301 Andrews Ave, Lyster Army Health Clinic, Fort Rucker, AL 36362 | 2005-10-20 |
| 1124011960 | Michael James Ainscough | Preventive Medicine | 1609 Ashwood Dr, Prattville, AL 36066-3628 | 2005-08-26 |
| 1538599071 | Walter Lawrence Md PC | Preventive Medicine | 551 Glover Ave, Enterprise, AL 36330-2041 | 2013-11-19 |
| 1033421078 | Joseph John Pavelites I | Preventive Medicine | 301 Andrews Ave, Lyster Army Medical Center, Fort Rucker, AL 36362-5333 | 2010-07-07 |
| 1750543146 | Jon Roger Gray | Preventive Medicine | 301 Andrews Ave, Ft Rucker, AL 36362 | 2008-06-27 |
| 1285896779 | Richard Charles Kipp | Preventive Medicine | 300 Twining St, Montgomery, AL 36112-6027 | 2008-06-26 |
| Find all providers with the same taxonomy | ||||
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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.