DR. JON RUBENOW MD NPI 1013970797

NPI Information

NPI: 1013970797
Provider Name: DR. JON RUBENOW, MD
Classification: Psychiatry & Neurology - 2084P0802X
Entity Type: Individual

Specialization: Addiction Psychiatry

Organization: UNIVERSITY OF ARKANSAS

PECOS Registration: Yes

Address:
601 W MAPLE AVE STE 403
SPRINGDALE, AR
ZIP 72764
Phone: (479) 750-2742
Get Directions

DR. Jon Rubenow, MD is an addiction psychiatry psychiatry neurology in Springdale, AR with 40 years of experience. The provider is addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. DR. Jon Rubenow, MD NPI is 1013970797. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduation Year:1984

The provider's business location address is:

601 W MAPLE AVE STE 403
SPRINGDALE, AR
ZIP 72764-374
Phone: (479) 750-2742
Fax: (479) 750-2781

The NPI 1013970797 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/11/2006 and was last updated on 9/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	E-6643	ARKANSAS	No
2	2084P0800X	Psychiatry & Neurology	Psychiatry	29940	GEORGIA	No
3	2084P0802X	Psychiatry & Neurology	Addiction Psychiatry	E-6643	ARKANSAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	D42326	MEDICARE UPIN	GEORGIA
2	26BDDLL	MEDICARE PIN	GEORGIA
3	5AE97	MEDICARE PIN	ARKANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »