DR. ROBERT J. HRUSKOVICH (NPI# 1720078108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720078108 |
| Entity Type | Individual |
| Full Name | DR. ROBERT J. HRUSKOVICH |
| Credential | MD |
| Practice Address |
211 N Eddy St. South Bend IN 46617-3096 |
| Practice Telephone | 5742468816 |
| Practice Fax Number | 5742046345 |
| Mailing Telephone | 5742468816 |
| Mailing Fax Number | 5742046345 |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2019-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | R9778 | TX | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 15405 | ND | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | MD046481 | DC | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 4301116232 | MI | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 52696 | SC | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 01043972A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200152430 | 05 |
| Street Address |
211 N EDDY ST. |
| City | SOUTH BEND |
| State | IN |
| Zip Code | 46617-3096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578013058 | Jennifer N Besemer | Dietitian, Registered | 211 N Eddy St., South Bend, IN 46617 | 2016-10-10 |
| 1952764409 | Marc Oudghiri | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2016-04-01 |
| 1124429261 | Megan Kathleen Maloney | Physician Assistant | 211 N Eddy St., South Bend, IN 46617-3096 | 2014-09-09 |
| 1447669304 | Ludmila Pichugena-emerson | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2014-08-05 |
| 1013288448 | Kelly Mae Losiniecki | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2012-01-17 |
| 1497902571 | Saira Malik Rahman | Pediatrics | 211 N Eddy St., South Bend, IN 46617-3096 | 2008-08-20 |
| 1821183674 | Cheryl A. Sharp | Audiologist | 211 N Eddy St., South Bend, IN 46617-3096 | 2006-10-04 |
| 1104817733 | Sandria R Nixon | Nurse Practitioner | 211 N Eddy St., South Bend, IN 46617-3096 | 2005-11-02 |
| 1013907419 | Ralph E Inabnit | Family Medicine | 211 N Eddy St., South Bend, IN 46617-3096 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740731116 | Jack Mcintyre Kimmell | Specialist/Technologist | 1526 East Lasalle, South Bend, IN 46617 | 2016-10-20 |
| 1023429115 | Morning View Assisted Living LLC | Assisted Living Facility | 475 N. Niles Avenue, South Bend, IN 46617 | 2014-05-12 |
| 1265861231 | Rebecca Busenbark | Physical Therapist | 401 E Colfax Ave Ste 102, South Bend, IN 46617 | 2013-11-11 |
| 1962709071 | Doreen Danice Huddleston | Social Worker | 928 East Wayne St, Suit C, South Bend, IN 46617 | 2011-02-25 |
| 1487981734 | Mary Cecilia Roemer | Marriage & Family Therapist | 616 E. Colfax Ave, South Bend, IN 46617 | 2009-11-06 |
| 1225264054 | Sridhar Meda | Dentist | 1005 East Lasalle Ave, South Bend, IN 46617 | 2009-06-08 |
| 1063673531 | Madeline Christina Watkins | Counselor | 616 E Colfax, South Bend, IN 46617 | 2008-06-18 |
| 1437366481 | Michael Reed Johns | Dentist | 103 South Eddy Street, South Bend, IN 46617 | 2007-05-17 |
| 1194937680 | Sarah Elizabeth Redman | Specialist/Technologist | 53880 Carmichael Dr., South Bend, IN 46617 | 2007-05-04 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| Find all providers in zip 46617 | ||||
| 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 |
|---|---|---|---|---|
| 1285998146 | Thomas Larsen | Family Medicine | 4440 Portage Ave, South Bend, IN 46628-9570 | 2012-06-26 |
| 1316180318 | Paul Angelo Carl Macri | Family Medicine | 2012 Cedar St, South Bend, IN 46617-2542 | 2009-04-07 |
| 1285818591 | Jaroslaw Kuna | Family Medicine | 320 S Saint Joseph St Ste 300, South Bend, IN 46601-2308 | 2007-12-21 |
| 1013117472 | Ronald E Grow Inc | Family Medicine | 810 W Indiana Ave, South Bend, IN 46613-1828 | 2007-07-23 |
| 1124241211 | Trixy Franke | Family Medicine | 837 E. Cedar St., Ste 100, South Bend, IN 46617 | 2007-04-10 |
| 1225185739 | Michael J. O'connell D.o. Inc | Family Medicine | 17960 Cleveland Road, South Bend, IN 46635 | 2007-01-05 |
| 1679620579 | Mark R. Neff | Family Medicine | 804 Lancaster Dr, South Bend, IN 46614-2020 | 2007-01-04 |
| 1437216587 | David Wood Baxter | Family Medicine | 115 E Cripe St, South Bend, IN 46637-3402 | 2007-01-01 |
| 1477635944 | Alan Snell | Family Medicine | 837 East Cedar St., Ste 100, South Bend, IN 46617 | 2006-10-20 |
| 1437240694 | Brian Anthony Jacobs | Family Medicine | 610 N Michigan Street, Suite 308, South Bend, IN 46601 | 2006-09-27 |
| Find all providers in SOUTH BEND | ||||
| City | SOUTH BEND |
| Zip Code | 46617 |
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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.