Donald G Ruebenspn III, IDHS

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

1 Wallace Reed Rd
South Padre Island, TX 78597-6401

Phone

(956) 364-7400

Fax

(956) 364-7402

NPI assigned

Sep 27, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1841961190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WALLACE REED RD",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785976401",
            "telephone_number": "956-364-7400",
            "fax_number": "956-364-7402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WALLACE REED RD",
            "city": "SOUTH PADRE ISLAND",
            "state": "TX",
            "postal_code": "785976401",
            "telephone_number": "956-364-7400",
            "fax_number": "956-364-7402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEBENSPN",
        "first_name": "DONALD",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "IDHS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "donald.g.ruebenson@uscg.mil",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1 Wallace Reed Rd",
            "city": "South Padre Island",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785976401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Christopher Alan Roche, IDHS
• Cindi Z Salinas, LCDCI
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• Shelley Sembler, B.S.,D.C.
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• Susan Kay Soto, RN

• Independent Duty Corpsman in South Padre Island, TX
• Providers in South Padre Island, TX by specialty
• Independent Duty Corpsman in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.