ELLEN I. RABUN (NPI# 1609815059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609815059 |
| Entity Type | Individual |
| Full Name | ELLEN I. RABUN |
| Credential | M.D. |
| Practice Address |
6103 Albemarle Lane Blacksburg VA 24060-3351 |
| Mailing Address |
6103 Albemarle Ln Blacksburg VA 24060-8116 |
| Practice Telephone | 5409519444 |
| Practice Fax Number | 5409513270 |
| Mailing Telephone | 5409519444 |
| Mailing Fax Number | 5409513270 |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2008-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 0101055151 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 005628971 | 05 | |
| VA | ANTHEM | 219203 | 01 |
| VA | ANTHEM | 219204 | 01 |
| Street Address |
6103 ALBEMARLE LANE |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-3351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073925749 | David Woodson | Family Medicine | 215 Gilbert St, Blacksburg, VA 24060-3305 | 2014-05-28 |
| 1760743264 | Matthew Elias Mccarthy | Family Medicine | 1908 Shelor Ln, Blacksburg, VA 24060 | 2012-06-01 |
| 1548498181 | Hilary Lois | Family Medicine | 3700 S Main St Ste A, Blacksburg, VA 24060-7017 | 2009-06-22 |
| 1558550301 | Family Medicine of Blacksburg, LLC | Family Medicine | 1645 N Main St, Blacksburg, VA 24060-2554 | 2007-10-17 |
| 1649346081 | Michael Dustin Kennedy | Family Medicine | 1645 North Main Street, Blacksburg, VA 24060 | 2006-11-28 |
| 1053340281 | Academic Primary Care Associates | Family Medicine | 3708 S Main St Ste B, Blacksburg, VA 24060-7007 | 2006-07-01 |
| 1992756761 | Matthew Todd Beck | Family Medicine | Charles W. Schiffert Health Center, Mccomas Hall, Virginia Tech University, Blacksburg, VA 24061-0001 | 2006-05-15 |
| 1437112869 | Dominic Frasca | Family Medicine | 0140 Mccomas Hall, Virginia Tech, Blacksburg, VA 24061-0001 | 2006-04-07 |
| 1215999776 | Rodger Curtis Mattson | Family Medicine | 3700 S Main St Ste 1a, Blacksburg, VA 24060 | 2006-04-03 |
| 1376510073 | Michael Keith Bowman | Family Medicine | 830 Davis St Ste 1, Blacksburg, VA 24060-7010 | 2006-03-02 |
| Find all providers in BLACKSBURG | ||||
| City | BLACKSBURG |
| Zip Code | 24060 |
Please comment or provide details below to improve the information on ELLEN I. RABUN.
| 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.