Lisa D Rubrich, C.O.

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

CO 002289 Issued in WI

Practice address

4261 Lien Rd
Suite O
Madison, WI 53704-3689

Phone

(608) 242-9273

Fax

(608) 242-9275

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Mae Health, Inc

  • Durable Medical Equipment & Medical Supplies
  • Madison, WI
  • NPI 1710148473
  NPD (past) Authorized official

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208304000000",
    "number": "1316968951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4261 LIEN RD",
            "address_2": "SUITE O",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043689",
            "telephone_number": "608-242-9273",
            "fax_number": "608-242-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4261 LIEN RD",
            "address_2": "SUITE O",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537043689",
            "telephone_number": "608-242-9273",
            "fax_number": "608-242-9275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBRICH",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "C.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2008-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": "WI",
            "license": "CO 002289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHOTIST",
            "identifier": "CO 002289",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lindsay Lou Rozendaal, D.D.S.
• Matthew R Rozzi, PHD
• Diego Rubalcava
• Tyler Rubeor, MD
• Olivia Anne Ruble
• Jeannine Ruby, MD
• Dianne Ruch, PHD
• Lacy Jane Rude, BS, SAC
• Timothy K. Ruder, O.D.
• Nathan J Rudin, MD

• Orthotist in Madison, WI
• Providers in Madison, WI by specialty
• Orthotist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.