NICOLE MARIE RUBLE (NPI# 1457608911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457608911 |
Entity Type | Individual |
Full Name | NICOLE MARIE RUBLE |
Credential | P.A. |
Practice Address |
417 S East St Corydon IA 50060-1860 |
Mailing Address |
Po Box 305 Corydon IA 50060-0305 |
Practice Telephone | 6418722260 |
Practice Fax Number | 6418723116 |
Mailing Telephone | 6418722260 |
Mailing Fax Number | 6418723116 |
Enumeration Date | 2012-08-14 |
Last Update Date | 2019-01-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
002332 | IA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
417 S EAST ST |
City | CORYDON |
State | IA |
Zip Code | 50060-1860 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285627323 | Babar S. Ahmed | Family Medicine | 417 S East St, Corydon, IA 50060-1860 | 2005-08-24 |
1265042055 | Adam Rowland | Nurse Practitioner | 417 S East St, Corydon, IA 50060-1860 | 2020-08-06 |
1649880451 | Angela M Downs | Nurse Practitioner | 417 S East St, Corydon, IA 50060-1835 | 2020-08-06 |
1114568870 | Kelcey Diane Leopard | Registered Nurse | 417 S East St, Corydon, IA 50060-1835 | 2019-10-03 |
1740764661 | Cortney Serene Wilson | Specialist/Technologist, Other | 417 S East St, Corydon, IA 50060-1860 | 2018-09-17 |
1386149680 | Rachel Mcilwain | Dietitian, Registered | 417 S East St, Corydon, IA 50060-1835 | 2018-03-28 |
1174937494 | Stephanie Jo Perkins Mahan | Family Medicine | 417 S East St, Corydon, IA 50060-1860 | 2014-06-14 |
1730518150 | Southern Iowa Orthopedics LLC | Podiatrist | 417 S East St, Corydon, IA 50060-1860 | 2013-11-06 |
1447500418 | Lk Madison Md LLC | Radiology | 417 S East St, Corydon, IA 50060-1860 | 2012-09-17 |
1720371198 | Galen R Daniels | Physician Assistant | 417 S East St, Corydon, IA 50060-1860 | 2011-05-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922214246 | Deborah Nadarevic | Pharmacist | Your Neighborhood Pharmacy, 510 E. Jefferson Street Suite A, Corydon, IA 50060 | 2007-05-15 |
1669697074 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 102-104 North Franklin St, Corydon, IA 50060 | 2007-04-13 |
1336290030 | Wolfe Clinic Eye Centers, Lc | Eyewear Supplier (Equipment, not the service) | 212 N Franklin Street, Corydon, IA 50060 | 2007-01-16 |
1912067455 | C and J Quality Jobs LLC | Contractor | 610 West Maple St, Corydon, IA 50060 | 2006-12-12 |
1417941188 | Debra Kay Neuharth | Family Medicine | 410 South Lincoln St, Corydon, IA 50060 | 2005-09-08 |
1922090752 | Charles A Clark | Optometrist | 212 N Franklin St, Corydon, IA 50060-1328 | 2005-08-18 |
1255488938 | Wayne Community School District | Local Education Agency (LEA) | 102 N Dekalb St, Corydon, IA 50060-1403 | 2007-01-04 |
1720607401 | Duane P Schmaltz | Pharmacist | 105 E Jackson St, Corydon, IA 50060-1408 | 2020-04-13 |
1669887642 | Hy Vee Inc | Pharmacy | 105 E Jackson St, Corydon, IA 50060-1408 | 2014-06-27 |
1336132588 | Corydon Pharmacy Inc | Pharmacy | 104 S Franklin St, Corydon, IA 50060-1518 | 2005-08-23 |
Find all providers in zip 50060 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417932385 | Ernest Maytum Brees | Physician Assistant | 417 S East St, Suite #100, Corydon, IA 50060-1860 | 2005-12-13 |
1124003009 | Amy Lynn Wood | Physician Assistant | 417 S East St, Suite #100, Corydon, IA 50060-1860 | 2005-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306468434 | Nichole Marie Steffens | Physician Assistant | 2371 County Road B32, Fort Atkinson, IA 52144-7414 | 2020-05-12 |
1558869321 | Devan Louis Depauw | Physician Assistant | 1227 East Rusholme St., Davenport, IA 52803 | 2018-01-26 |
1295282325 | Courtney Lowy | Physician Assistant | 3850 Merle Hay Rd Ste 500, Des Moines, IA 50310-1322 | 2016-09-07 |
1447641618 | West Broadway Clinic, P.C. | Physician Assistant | 1701 W Broadway, Council Bluffs, IA 51501-3822 | 2015-02-10 |
1972858397 | Sarah Beth Nace | Physician Assistant | 2346 Mormon Trek Blvd Ste 1500, Iowa City, IA 52246-4368 | 2012-07-23 |
1528313350 | Stephanie Elaine Fangman | Physician Assistant | 709 W Main St Ste 3, Manchester, IA 52057-1526 | 2012-07-18 |
1679707947 | Integrative Medicine Consultants, Inc. | Physician Assistant | 507 Main Avenue, Clear Lake, IA 50428 | 2009-05-14 |
1992960876 | Cass County Memorial Hospital Rhc | Physician Assistant | 1501 E 10th St Ste 100, Atlantic, IA 50022-1936 | 2008-07-21 |
1629265368 | Hannah Joy Lokenvitz | Physician Assistant | 700 2nd St Se Ste 101, Hampton, IA 50441-2655 | 2007-09-26 |
1568658532 | Angela K Grundmeyer | Physician Assistant | 1215 Pleasant St Ste 100, Des Moines, IA 50309-1409 | 2007-09-24 |
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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.