MRS. GWEN LEE RUBACH (NPI# 1912095712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912095712 |
| Entity Type | Individual |
| Full Name | MRS. GWEN LEE RUBACH |
| Credential | NURSE PRACTITIONER |
| Practice Address |
175 E Adams St Ionia MI 48846-1672 |
| Mailing Address |
425 Cherry St Se Grand Rapids MI 49503-4601 |
| Practice Telephone | 6165273340 |
| Mailing Telephone | 6167747005 |
| Mailing Fax Number | 6167740516 |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-07-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
4704109915 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
175 E ADAMS ST |
| City | IONIA |
| State | MI |
| Zip Code | 48846-1672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639265606 | Ionia County Health Department | Public Health or Welfare | 175 E Adams St, Ionia, MI 48846-1672 | 2006-10-05 |
| 1588013684 | Sarah Tahvonen | Social Worker | 175 E Adams St, Ionia, MI 48846-1672 | 2016-06-09 |
| 1508214248 | Debra Lynn Thalison | Counselor | 175 E Adams St, Ionia, MI 48846-1672 | 2016-06-02 |
| 1174751432 | Run2recovery Counseling Services | Community/Behavioral Health | 175 E Adams St, Ionia, MI 48846-1672 | 2009-06-25 |
| 1316022429 | Planned Parenthood Centers of West Mi | Clinic/Center | 175 E Adams St, Ionia, MI 48846-1672 | 2006-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728003 | William Thomas Franklin-cromwell | Social Worker | 4832 E Bluewater Hwy, Ionia, MI 48846 | 2018-08-03 |
| 1992244974 | Jane Sielski | Nurse Practitioner | 2776 S State Rd # M66, Ionia, MI 48846 | 2017-02-23 |
| 1184074676 | Rachael Greenman | Technician, Other | 321 Colby St, Ionia, MI 48846 | 2016-06-15 |
| 1093059388 | Alicia Lynn Ballard | Orthopaedic Surgery | 537 W. Main St Suite 102, Ionia, MI 48846 | 2012-11-27 |
| 1538301643 | Places LLC | Registered Nurse | 910 E Lincoln, Ionia, MI 48846 | 2009-04-03 |
| 1285856419 | Goodwill Optical Inc | Optometrist | 153 W Sprague Rd, Ionia, MI 48846 | 2007-05-03 |
| 1033271143 | Sparrow Ionia Hospital | Family Medicine | 550 East Washington Street, Ionia, MI 48846 | 2006-12-14 |
| 1841364833 | Sandra Irene Herron | Physical Therapist | 3751 S State Rd, Ionia, MI 48846 | 2006-11-20 |
| 1407920531 | Brooke Lynne Cheney | Physical Therapist | 3751 S State Road, Ionia, MI 48846 | 2006-11-20 |
| 1356415483 | Grand River Physical Therapy Specialists PC | Physical Therapist | 3751 South State Rd, Ionia, MI 48846 | 2006-11-20 |
| Find all providers in zip 48846 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821615279 | Kelly Ellis | Nurse Practitioner | 585 S Union St, Sparta, MI 49345-1505 | 2020-07-01 |
| 1316587678 | Pregnancy Helpline | Nurse Practitioner | 7743 Grand River Avenue, Suite 101, Brighton, MI 48114-9349 | 2020-01-14 |
| 1972160745 | Jennifer Deibert Keck | Nurse Practitioner | 7345 Jewelbrooke Dr Se, Grand Rapids, MI 49548-7323 | 2019-05-28 |
| 1053874248 | Suzanne Kathleen Dubuque | Nurse Practitioner | 7743 Grand River Rd Ste 101, Brighton, MI 48114-9349 | 2019-04-13 |
| 1316419625 | Chira Latrice Caldwell | Nurse Practitioner | 26080 Continental Cir, Taylor, MI 48180-6901 | 2018-12-27 |
| 1245741651 | Michigan Born and Raised LLC | Nurse Practitioner | 2932 Chicago Dr Sw, Grandville, MI 49418-1176 | 2017-10-12 |
| 1700322708 | Emily Strang | Nurse Practitioner | 909 W Maple Rd Ste 110, Clawson, MI 48017-1000 | 2017-01-13 |
| 1629446315 | Women's Health Associates PC | Nurse Practitioner | 25150 Ford Rd Ste 200, Dearborn Heights, MI 48127-3163 | 2015-09-11 |
| 1003297664 | Kimberly Porter | Nurse Practitioner | 1005 W Green St Ste 301, Hastings, MI 49058-1729 | 2015-06-09 |
| 1619390309 | Bethany Bondy | Nurse Practitioner | 1651 Kingsway Ct Ste A, Trenton, MI 48183-1959 | 2014-01-30 |
| Find all providers with the same taxonomy | ||||
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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.