Jon Rubenow, MD

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

E-6643 Issued in AR

Practice address

601 W Maple Ave Ste 403
Springdale, AR 72764-5374

Phone

(479) 750-2742

Fax

(479) 750-2781

NPI assigned

Apr 11, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Arkansas for Medical SciencesGroup PAC ID 4082528955, shared by 29 NPIs, 1,159 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• MS PPO D-SNP
• MS PPO C-SNP
• MS PPO

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Arkansas for Medical Sciences

  • Pediatrics Physician
  • Little Rock, AR
  • NPI 1346230968

  Child & Adolescent Psychiatry

  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Internal Medicine Physician
  • Little Rock, AR
  • NPI 1588654016
  Medicare reassignment NPD
• Washington Regional Medical System

  • Geriatric Psychiatry Physician
  • Fayetteville, AR
  • NPI 1366408973
  Medicare reassignment NPD
• University of Arkansas for Medical Sciences

  • Developmental - Behavioral Pediatrics Physician
  • Lowell, AR
  • NPI 1407021280
  NPD
• Washington Regional Medical System

  • Family Medicine Physician
  • Farmington, AR
  • NPI 1275839011
  NPD
• Washington Regional Medical System

  • Hospitalist Physician
  • Fayetteville, AR
  • NPI 1306801485
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1013970797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE STE 403",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645374",
            "telephone_number": "479-750-2742",
            "fax_number": "479-750-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W MAPLE AVE STE 403",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727645374",
            "telephone_number": "479-750-2742",
            "fax_number": "479-750-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBENOW",
        "first_name": "JON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "29940",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "AR",
            "license": "E-6643",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "AR",
            "license": "E-6643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe P Rouse, MD
• Lauren Casey Routt, BCBA
• Emily Diana Rowland, PLMSW
• Twyla A Rownak, LPC, MFT
• Rpi Rehab Operations, LLC
• Christina C Ruby, PT, DPT
• Mark R. Rucker, MD
• Brandi Sue Rudder, PTA
• Josue Ruiz Rodriguez
• Emily Lauren Ruppert, DO

• Addiction Psychiatry Physician in Springdale, AR
• Providers in Springdale, AR by specialty
• Addiction Psychiatry Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.