Ida J Rubino (NPI# 1073626594, PAC ID# 5799688172) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1073626594 |
| PAC ID by PECOS | 5799688172 |
| Professional Enrollment ID | I20040202000258 |
| Full Name | Ida J Rubino |
| Organization Legal Name | OAKWOOD AMBULATORY LLC |
| Address |
12100 S Huron River Dr Romulus MI 48174-1119 |
| Phone Number | 7349411070 |
| Gender | F |
| Credential | MD |
| Medical School | WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 1850282914 |
| Number of Group Practice Members | 279 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230269 | BEAUMONT HOSPITAL, TROY |
| 230130 | BEAUMONT HOSPITAL, ROYAL OAK |
| Address | Phone | Organization |
|---|---|---|
| 12100 S Huron River Dr, Romulus, MI 48174-1119 | 7349411070 | OAKWOOD AMBULATORY LLC |
| Organization Legal Name | OAKWOOD AMBULATORY LLC |
| Physicians | 313 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mayssara Jubori | Internal Medicine | Oakwood Ambulatory LLC | 4700 Schaefer Rd, Suite 240, Dearborn, MI 48126-3743 |
| Harrison Scott Vogel | Family Medicine | Oakwood Ambulatory LLC | 8545 Common Rd, Suite 280, Warren, MI 48093-6775 |
| Christopher Lajeunesse | Family Medicine | Oakwood Ambulatory LLC | 2001 S Merriman Rd, Suite 100, Westland, MI 48186-5540 |
| Karoon Smbatt | Internal Medicine | Oakwood Ambulatory LLC | 15777 Northline Rd, Suite 200, Southgate, MI 48195-2354 |
| Amanda Therese Wuebben | Nurse Practitioner | Oakwood Ambulatory LLC | 5452 Fort St, Suite 200, Trenton, MI 48183-4638 |
| Bekeza Ratliff | Nurse Practitioner | Oakwood Ambulatory LLC | 1700 Biddle Ave, Wyandotte, MI 48192-7205 |
| Sarah Baban | Nurse Practitioner | Oakwood Ambulatory LLC | 16351 Rotunda Dr, Apt 168, Dearborn, MI 48120-2005 |
| Ayesha Afrah Khan | Obstetrics/gynecology | Oakwood Ambulatory LLC | 2142 Monroe St, Suite A, Dearborn, MI 48124-3057 |
| Amal Khalil | Family Medicine | Oakwood Ambulatory LLC | 29150 Ford Rd, Garden City, MI 48135-2848 |
| Riley M Smith | Physical Medicine and Rehabilitation | Oakwood Ambulatory LLC | 17000 Hubbard Dr, Suite 800, Dearborn, MI 48126-4205 |
| Street Address |
12100 S HURON RIVER DR |
| City | ROMULUS |
| State | MI |
| Zip | 48174-1119 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ruth E Mays | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| James Choi | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Indrani Nimmagadda | Internal Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Alexandra I Halalau | Internal Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Erik Weitz | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Snezhana Tuxhari | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Kimberly Ottoni | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Bindu Suresh | Internal Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Robert David Edwards | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Tania M Sadik | Internal Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah W Gammouh | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Nicholus Yee | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Shoshan P Zolo | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Matthew J Sebastian | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Letacia Denise Thomas | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Danielle Ohs Carnwath | Family Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Sandor H Shoichet | Internal Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Joseph Henry Vercellone | Internal Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Wafaa S Hanna | Internal Medicine | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Lisa L Pierce | Nurse Practitioner | Oakwood Ambulatory LLC | 12100 S Huron River Dr, Romulus, MI 48174-1119 |
| Find all physicians in zip 48174 | |||
| City | ROMULUS |
| Zip Code | 48174 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | ROMULUS + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Ida J Rubino.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.