Theodore R. Rubbo

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

AS4457 Issued in FL

Practice address

5000 Cheshire Pkwy N
Plymouth, MN 55446-4103

Phone

(763) 268-4084

Fax

(763) 268-4240

NPI assigned

Oct 19, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Minly Inc

  • Hearing Aid Equipment
  • Melbourne, FL
  • NPI 1588975015
  NPD (past)
• Sonus-USA, Inc.

  • Audiologist-Hearing Aid Fitter
  • Viera, FL
  • NPI 1972556371
  NPD (past)

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

{
    "created_epoch": "1255910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255910400000",
    "number": "1659607133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 N WICKHAM RD",
            "address_2": "SUITE 114",
            "city": "VIERA",
            "state": "FL",
            "postal_code": "329406616",
            "telephone_number": "321-259-1029",
            "fax_number": "321-259-1037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CHESHIRE PKWY N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554464103",
            "telephone_number": "763-268-4084",
            "fax_number": "763-268-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBBO",
        "first_name": "THEODORE",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-19",
        "last_updated": "2009-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "FL",
            "license": "AS4457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolonda Yvette Rogers, LICSW
• Roman Health Services LLC Limited Liability Company
• Kaitlyn M Roseman, PA-C
• Jesse Rossow, O.D.
• John M Rozman, FNP
• Shoshana Rubin, OT
• Mary Ruegemer, CRNA
• Leah Ruhland, OD
• Brent Donald Rundquist, D.D.S. M.S.
• Nancy J Runyon

• Hearing Instrument Specialist in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Hearing Instrument Specialist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2009; 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.