ELIZABETH RUDENBERG (NPI# 1720350549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720350549 |
| Entity Type | Individual |
| Full Name | ELIZABETH RUDENBERG |
| Credential | DO |
| Practice Address |
24 Gardiner St Richmond ME 04357 |
| Practice Telephone | 2077374359 |
| Practice Fax Number | 2077374412 |
| Mailing Telephone | 2077374359 |
| Mailing Fax Number | 2077374412 |
| Enumeration Date | 2012-02-09 |
| Last Update Date | 2012-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 1382 | ME | Allopathic & Osteopathic Physicians |
| Street Address |
24 GARDINER ST |
| City | RICHMOND |
| State | ME |
| Zip Code | 04357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841262417 | Thomas G Bartol | Nurse Practitioner | 24 Gardiner St, Richmond, ME 04357 | 2006-02-07 |
| 1619352267 | Elizabeth Kerr | Nurse Practitioner | 24 Gardiner St, Richmond, ME 04357 | 2015-07-24 |
| 1902170392 | Melissa C Hackett | Nurse Practitioner | 24 Gardiner St, Richmond, ME 04357 | 2012-03-02 |
| 1215224233 | Willie-joe C. Liberty | Social Worker | 24 Gardiner St, Richmond, ME 04357 | 2011-06-29 |
| 1720398837 | Meneah Rose Haworth | Nurse Practitioner | 24 Gardiner St, Richmond, ME 04357-1336 | 2010-10-08 |
| 1275860173 | Louise M Gephart | Counselor | 24 Gardiner St, Richmond, ME 04357-1336 | 2009-11-13 |
| 1386732329 | Karen Emma Guiou | Nurse Practitioner | 24 Gardiner St, Richmond, ME 04357-1336 | 2006-10-11 |
| 1164496410 | Healthreach Community Health Centers | Clinic/Center | 24 Gardiner St, Richmond, ME 04357-1336 | 2006-02-14 |
| 1043282619 | Linda S Hermans | Family Medicine | 24 Gardiner St, Richmond, ME 04357 | 2006-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881948768 | Crystal Theresa Zagwyn Harrison | Chiropractor | 164 Main St Ste 3, Richmond, ME 04357 | 2012-10-31 |
| 1053628768 | Devin Bobbi-tracey Custer | Speech-Language Pathologist | 28 High Street, Richmond, ME 04357 | 2010-09-02 |
| 1386871507 | Cheryl Lynne Skilling | Dental Hygienist | 24 Gardiner St., Richmond, ME 04357 | 2009-06-15 |
| 1316224520 | Brianne Snow | Massage Therapist | 728 Main St, Ste1, Richmond, ME 04357 | 2011-11-16 |
| 1427283159 | Richmond Eldercare Coalition | Assisted Living Facility | 18 Hathorn St, Richmond, ME 04357-1161 | 2009-05-26 |
| 1700966108 | Hope Libby | Counselor | 22 Weymouth St, Richmond, ME 04357-1324 | 2006-10-17 |
| 1720294192 | Richmond School Department | Local Education Agency (LEA) | 28 High St, Richmond, ME 04357-1332 | 2007-05-15 |
| 1649677337 | Yuriy Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2014-11-25 |
| 1699166363 | Sarah Ustinov | Psychologist | 3 Baker St, Richmond, ME 04357-1387 | 2015-02-16 |
| 1942633904 | Sarah Lynn Coughlin | Massage Therapist | 249 Front St, Richmond, ME 04357-1468 | 2013-08-14 |
| Find all providers in zip 04357 | ||||
| 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 |
|---|---|---|---|---|
| 1528670981 | Visium Healthlink LLC | Family Medicine | 507 Avawam Dr, Richmond, KY 40475-9195 | 2020-08-18 |
| 1518590611 | Titilayo Oluwakemi Akinpelu | Family Medicine | 19710 Terrace Cliff Ct, Richmond, TX 77407-1920 | 2020-02-17 |
| 1154977742 | Lesley Chanell Lagrue | Family Medicine | 9114 Andes Ridge Ln, Richmond, TX 77407-1692 | 2019-08-10 |
| 1285291898 | Np Care LLC | Family Medicine | 1618 Pope Ave, Richmond, VA 23227-3754 | 2019-05-20 |
| 1639653025 | Ruchita S Patel Md Pllc | Family Medicine | 19303 Mission Cove Ln, Richmond, TX 77407-2559 | 2018-09-20 |
| 1548777915 | Kudirat Folorunsho Sunmonu | Family Medicine | 6930 Chapel Meadow Ln, Richmond, TX 77407-3833 | 2018-01-05 |
| 1114450624 | Jacqueline Britz | Family Medicine | 4730 E Southside Plaza, Richmond, VA 23224 | 2017-04-11 |
| 1255862926 | Andrew Lyell | Family Medicine | 3204 Parkwood Ave, Richmond, VA 23221-3421 | 2017-03-24 |
| 1255782546 | Clarkson Health LLC | Family Medicine | 4821 Old National Rd E, Suite A, Richmond, IN 47374-2651 | 2016-06-28 |
| 1326498650 | Emily Nicole Lynch | Family Medicine | 3591 Dorothy Ln, Richmond, IN 47374-6749 | 2016-06-17 |
| Find all providers in RICHMOND | ||||
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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.