STEPHANIE RUTTERBUSH (NPI# 1649652298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649652298 |
| Entity Type | Individual |
| Full Name | STEPHANIE RUTTERBUSH |
| Credential | MD |
| Practice Address |
3040 Bourn St Lewiston MI 49756 |
| Mailing Address |
271 Mccoy Rd W Gaylord MI 49735-8253 |
| Practice Telephone | 9897864877 |
| Practice Fax Number | 9897317929 |
| Mailing Telephone | 9897317777 |
| Mailing Fax Number | 9897317776 |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2018-12-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 4301108253 | MI | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1414 W Fair Ave, Marquette, MI 498552675 | 9062253864 |
| Street Address |
3040 BOURN ST |
| City | LEWISTON |
| State | MI |
| Zip Code | 49756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992778807 | Kristin S Maschke | General Practice | 3040 Bourn St, Lewiston, MI 49756-8134 | 2006-02-10 |
| 1295383008 | Ashley Borowiak | Nurse Practitioner | 3040 Bourn St, Lewiston, MI 49756-8134 | 2019-08-27 |
| 1346601127 | Hannah B Russell | Physician Assistant | 3040 Bourn St, Lewiston, MI 49756-8134 | 2016-03-08 |
| 1265774269 | Lisa Ann Stier | Nurse Practitioner | 3040 Bourn St, Lewiston, MI 49756-8134 | 2013-03-18 |
| 1285867838 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2009-08-31 |
| 1538328364 | Munson Healthcare Otsego Memorial Hospital | General Practice | 3040 Bourn St, Lewiston, MI 49756 | 2008-06-06 |
| 1801860440 | Michael R Mcnamara | General Practice | 3040 Bourn St, Lewiston, MI 49756-8134 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760495360 | Daniel Rand Woodruff | Chiropractor | 4556 Salling Avenue, Lewiston, MI 49756 | 2006-08-14 |
| 1720098395 | Township of Albert | Ambulance | 4196 Salling Ave, Lewiston, MI 49756 | 2006-08-08 |
| 1366631798 | John Peter Marconnit | Dentist | 3051 Bay Street, Lewiston, MI 49756 | 2007-10-22 |
| 1396758991 | Woodruff Family Chiropractic, P.C. | Chiropractor | 4556 Salling Ave, Lewiston, MI 49756 | 2006-08-14 |
| 1336159995 | Rite Aid of Michigan Inc | Durable Medical Equipment & Medical Supplies | 2855 South County Road 489, Lewiston, MI 49756-0097 | 2006-08-08 |
| 1841315090 | John P. Marconnit D.d.s., P.C. | Dental Laboratory | 3051 Bay Street, Lewiston, MI 49756-0170 | 2007-03-20 |
| 1760422455 | Toupin Chiropractic Clinics, P.C. | Chiropractor | 4556 Salling Ave, Lewiston, MI 49756-7852 | 2006-06-08 |
| 1124402136 | Thunder Bay Community Health Service, Inc | Clinic/Center | 4580 Montmorency St, Lewiston, MI 49756-7862 | 2015-07-20 |
| 1891227450 | Constance Guthrie | Social Worker | 4580 Montmorency St, Lewiston, MI 49756-7862 | 2017-03-31 |
| 1457617508 | Mark Mitchell Mouzakis | Pharmacist | 2855 S County Road 489, Lewiston, MI 49756-8155 | 2012-04-03 |
| Find all providers in zip 49756 | ||||
| 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 |
|---|---|---|---|---|
| 1336433085 | Jacob Emerson Crothers | Family Medicine | Bates Mill No. 6, 70 Lincoln Street, 3rd Floor, Lewiston, ME 04240 | 2011-05-30 |
| 1922334523 | Michael Joseph Ragusa | Family Medicine | 941 Escarpment Dr, Lewiston, NY 14092-2021 | 2009-11-02 |
| 1992843015 | Manuel Gonzales Sangalang | Family Medicine | 111 Webster St, Suite #4, Lewiston, ME 04240-6464 | 2007-02-01 |
| 1558452268 | Clearwater Medical Center Pllc | Family Medicine | 1522 17th St, Lewiston, ID 83501-3652 | 2006-09-27 |
| 1649295866 | Christopher J Iacobelli | Family Medicine | 307 Saint Johns Way Ste 11, Lewiston, ID 83501-2435 | 2006-07-12 |
| 1346273885 | Debra M Omiatek | Family Medicine | 265 Portage Rd, Lewiston, NY 14092-1710 | 2006-07-08 |
| 1407885213 | Jeffrey S. Michaud | Family Medicine | 15 Mollison Way, Suite 301, Lewiston, ME 04240-5805 | 2006-07-02 |
| 1851337554 | Robert J Lotstein | Family Medicine | 332 5th St, Lewiston, ID 83501-2419 | 2006-06-21 |
| 1164477568 | Community Clinical Services, Inc. | Family Medicine | 57 Birch St Ste 102, Lewiston, ME 04240-7415 | 2006-05-23 |
| 1619967361 | Alice C. Haines | Family Medicine | 60 Pine St, Suite One, Lewiston, ME 04240-7214 | 2005-10-25 |
| Find all providers in LEWISTON | ||||
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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.