JUSTIN RUECKERT (NPI# 1750743050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750743050 |
| Entity Type | Individual |
| Full Name | JUSTIN RUECKERT |
| Credential | D.O. |
| Practice Address |
7723 Springdale Rd Austin TX 78724-2200 |
| Mailing Address |
6708 Penns Chapel Rd Bowling Green KY 42101-7000 |
| Practice Telephone | 8017076354 |
| Mailing Telephone | 8017076354 |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 111 Colchester Ave # 233mp1, Burlington, VT 054011473 | 8028472700 |
| Street Address |
7723 SPRINGDALE RD |
| City | AUSTIN |
| State | TX |
| Zip Code | 78724-2200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099917 | Kendall Crowns | Pathology | 7723 Springdale Rd, Austin, TX 78724-2200 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164901781 | Brittany Mays | Social Worker | 5410 King Henry Dr, Austin, Austin, TX 78724 | 2018-08-14 |
| 1790174852 | Dane Deciero | Social Worker | 8509 Fm 969, Building 627, C/o Kipp Austin College Prep, Austin, TX 78724 | 2015-01-13 |
| 1194047209 | Beena Benny | Counselor | 7309 Lazy Creek Dr, Austin, TX 78724 | 2010-02-17 |
| 1285726075 | Beverly Jeannine Veltman | Physical Therapist | 6005 Gilbert Rd, Patient Homes, Austin, TX 78724 | 2006-09-29 |
| 1770594764 | Belda Zamora | Family Medicine | 2100 E 6th St, Suite B, Austin, TX 78724 | 2006-08-11 |
| 1184709602 | Oakcrest Manor Nursing Home LLC | Nursing Facility/Intermediate Care Facility | 9808 Crofford Ln, Austin, TX 78724-1004 | 2006-10-25 |
| 1912359407 | Oakcrest Operating LLC | Skilled Nursing Facility | 9808 Crofford Ln, Austin, TX 78724-1004 | 2016-07-07 |
| 1790264174 | Kamilah Corinne Silas | Licensed Vocational Nurse | 8712 Old Manor Rd Apt 2201, Austin, TX 78724-1832 | 2018-08-07 |
| 1407955347 | Homecare Dimensions, Inc. | Durable Medical Equipment & Medical Supplies | 8107 Springdale Rd, Suite 110, Austin, TX 78724-2437 | 2006-09-21 |
| 1750347688 | County of Travis | Ambulance | 7800 Old Manor Rd, Austin, TX 78724-2610 | 2006-04-20 |
| Find all providers in zip 78724 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366053175 | Ethan Zimmerman | Student in an Organized Health Care Education/Training Program | 901 Mopac Expressway South, Barton Oaks Plaza 4, Suite 350, Austin, TX 78746 | 2020-08-14 |
| 1144847773 | Rachael Tillman | Student in an Organized Health Care Education/Training Program | 4900 Mueller Blvd Fl 2, Austin, TX 78723-3079 | 2020-06-30 |
| 1497370639 | Patrick Dennis Scholl | Student in an Organized Health Care Education/Training Program | 5205 Backtrail Dr, Austin, TX 78731-2668 | 2020-06-13 |
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1437772373 | Sharon Polackal | Student in an Organized Health Care Education/Training Program | Shoal Creek Hospital, 3501 Mills Avenue, 6th Floor, Austin, TX 78731 | 2020-05-27 |
| 1215550025 | Javier Benitez | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School General Surgery, 1500 Red River St., Austin, TX 78712 | 2020-05-27 |
| 1952924276 | Parisa Khosravi | Student in an Organized Health Care Education/Training Program | 1400 N Interstate 35 # Cec300, Austin, TX 78701-1926 | 2020-05-20 |
| 1659993657 | Ayan Monpara | Student in an Organized Health Care Education/Training Program | 6007 Duncanville Pass, Austin, TX 78745-3223 | 2020-05-12 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1215566856 | Vignesh Ramachandran | Student in an Organized Health Care Education/Training Program | 2110 Cliffs Edge Dr, Austin, TX 78733-6014 | 2020-04-06 |
| Find all providers in AUSTIN | ||||
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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.