DR. RANDALL RUVALCABA (NPI# 1659316149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659316149 |
| Entity Type | Individual |
| Full Name | DR. RANDALL RUVALCABA |
| Credential | MD |
| Practice Address |
19333 W North Ave Brookfield WI 53045-4132 |
| Practice Telephone | 4142583939 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 34562 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 32119800 | 05 |
| Street Address |
19333 W NORTH AVE |
| City | BROOKFIELD |
| State | WI |
| Zip Code | 53045-4132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255314076 | John K Hur | Anesthesiology | 19333 W North Ave, Brookfield, WI 53045-4132 | 2005-11-25 |
| 1467063008 | Shelly Schneider Parker | Registered Nurse | 19333 W North Ave, Brookfield, WI 53045-4132 | 2020-08-16 |
| 1083224661 | Deborah Moraza | Registered Nurse | 19333 W North Ave, Brookfield, WI 53045-4132 | 2020-08-07 |
| 1659905727 | Bobbie-jo Marie King | Pharmacist | 19333 W North Ave, Brookfield, WI 53045-4198 | 2020-02-27 |
| 1477199271 | Jayne Eslinger | Physician Assistant | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-11-27 |
| 1801350632 | Anne M Hollandsworth | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-01-25 |
| 1245704477 | Dana J Wilson | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2019-01-22 |
| 1043788870 | Thomas M Nigro Jr. | Nurse Anesthetist, Certified Registered | 19333 W North Ave, Brookfield, WI 53045-4132 | 2018-11-09 |
| 1356819619 | Freda Lynn Erdman | Clinical Nurse Specialist | 19333 W North Ave, Brookfield, WI 53045 | 2018-11-05 |
| 1891285474 | Uche Dike | Pharmacist | 19333 W North Ave, Brookfield, WI 53045-4132 | 2018-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801436159 | Jeannie Spoon | Behavioral Analyst | 200 N. Patrick Blvd. Ste 250, Brookfield, WI 53045 | 2020-01-14 |
| 1629635313 | Hallie Mackenzie Ritchay | Speech-Language Pathologist | Greenfield Rehabilitation Agency 19395 W Capitol Dr, Ste 200, Brookfield, WI 53045 | 2019-05-29 |
| 1427535038 | Kimberly Ann Beres | Registered Nurse | 2253 Norhardt Dr, Brookfield, WI 53045 | 2018-07-26 |
| 1265927768 | Brady Frederick Bachmann | Physical Therapist | 275 Regency Ct., Suite 200, Brookfield, WI 53045 | 2018-06-27 |
| 1841792603 | Wisconsin Renal Care Group, L.L.C. | Clinic/Center | 17500 W Capitol Drive, Brookfield, WI 53045 | 2018-03-07 |
| 1750828299 | Nanette Marie Kloth | Nurse Practitioner | 18110 W Bluemond Rd, Brookfield, WI 53045 | 2017-01-23 |
| 1144772013 | Saida Reifenrath | Acupuncturist | 240 Regency Court, Suite 102, Brookfield, WI 53045 | 2016-10-26 |
| 1437545951 | Kylee Stevenson | Chiropractor | 19555 W Bluemound Rd Ste 6, Brookfield, WI 53045 | 2015-04-10 |
| 1548659725 | Patricia Ann Kender | Nurse Practitioner | 17495 W. Capitol Dr., Brookfield, WI 53045 | 2015-01-12 |
| 1568882793 | Kassandra E Holzem | Dermatology | 195 Discovery Dr, Brookfield, WI 53045 | 2014-04-28 |
| Find all providers in zip 53045 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417225871 | David Ralph Nahin | Emergency Medicine | 1175 Gray Fox Hollow, Brookfield, WI 53045-4608 | 2011-12-13 |
| 1134173875 | Subhashish Agarwal | Emergency Medicine | 16650 W Bluemound Rd Ste 200, Brookfield, WI 53005-5959 | 2006-05-19 |
| 1649233255 | Niel A Johnson | Emergency Medicine | 16985 W Bluemound Rd, Brookfield, WI 53005-5909 | 2006-04-07 |
| 1104322866 | Rebecca Frieda Krc | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628 | 2018-04-02 |
| 1043574718 | Benjamin Chan | Emergency Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2012-06-27 |
| 1730479254 | Urgent Care Medical Associates, LLC | Emergency Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2011-04-18 |
| 1023345923 | David Loris Dollins | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2009-11-13 |
| 1316013675 | Jerry L Wait | Emergency Medicine | 130 E Lockling St, Brookfield, MO 64628-2337 | 2006-11-28 |
| 1558449868 | Michael J Alper | Emergency Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2006-11-02 |
| 1538258876 | Brookfield Emergency Physicians Sc | Emergency Medicine | 19333 W North Ave, Brookfield, WI 53045-4132 | 2006-10-12 |
| Find all providers in BROOKFIELD | ||||
| City | BROOKFIELD |
| Zip Code | 53045 |
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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.