Active NPI
Krista Marie Rubosky, PA-C
- Physician Assistant
- Holland, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.003759RX
- Practice address
- 6855 Spring Valley Dr Ste 110
Holland, OH 43528-9374 - Phone
- (218) 438-0283
- Fax
- (513) 823-3247
- NPI assigned
- Mar 27, 2013
- Last updated
- May 29, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.003759 | OH | |
| Physician Assistant | 363A00000X | 50.003759RX | OH | Primary |
| Medical Physician Assistant | 363AM0700X | 50.003759RX | OH |
Addresses
Primary practice location
6855 Spring Valley Dr Ste 110
Holland, OH 43528-9374
Mailing address
6855 Spring Valley Dr Ste 110
Holland, OH 43528-9374
Phone (218) 438-0283
Other practice location 1
550 W Chalmers Ave
Youngstown, OH 44511-1576
Phone (330) 797-0070
Other practice location 2
320 High St NE
Warren, OH 44481-1222
Phone (330) 797-0070
Other practice location 3
527 N Meridian Rd
Youngstown, OH 44509-1227
Phone (330) 797-0070
Other practice location 4
1950 Niles Cortland Rd NE Ste 11
Warren, OH 44484-1077
Phone (330) 797-0070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0156697 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6855 Spring Valley Dr
Suite 110
Holland, OH 43528-9374
Phone (216) 438-0283
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.003759 | OH | MD | Physician Assistant |
| 50.003759RX | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Workit Health NJ LLC | Current | Accepting new patients | |
| David J Corallo | Past | Accepting new patients |
Locations
5 Greentree Ctr
Ste 117
Marlton, NJ 08053
Phone (609) 474-0106
Interoperability endpoints
- https://api.platform.athenahealth.com/2325/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Physician
- Holland, OH
- NPI 1649894262
-
- Multi-Specialty Clinic/Center
- Marlton, NJ
- NPI 1841833050
-
- Procedural Dermatology Physician
- Beloit, OH
- NPI 1790974442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748476800000",
"number": "1578805602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6855 SPRING VALLEY DR STE 110",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289374",
"telephone_number": "218-438-0283",
"fax_number": "513-823-3247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6855 SPRING VALLEY DR STE 110",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289374",
"telephone_number": "218-438-0283",
"fax_number": "513-823-3247"
}
],
"practiceLocations": [
{
"address_1": "550 W Chalmers Ave",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445111576",
"country_code": "US",
"telephone_number": "330-797-0070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 High St NE",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444811222",
"country_code": "US",
"telephone_number": "330-797-0070",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "527 N Meridian Rd",
"address_purpose": "LOCATION",
"city": "Youngstown",
"state": "OH",
"postal_code": "445091227",
"country_code": "US",
"telephone_number": "330-797-0070",
"fax_number": "330-797-9146",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1950 Niles Cortland Rd NE Ste 11",
"address_purpose": "LOCATION",
"city": "Warren",
"state": "OH",
"postal_code": "444841077",
"country_code": "US",
"telephone_number": "330-797-0070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBOSKY",
"first_name": "KRISTA",
"middle_name": "MARIE",
"name_prefix": "Miss",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-27",
"last_updated": "2025-05-29",
"certification_date": "2025-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003759",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.003759RX",
"primary": true
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "OH",
"license": "50.003759RX",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0156697",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.