| Dr Samuel Mark Ruben, MD | |
|
900 Leilani St, Hilo, HI 96720-7512 | |
| (808) 430-2596 | |
| (808) 934-9360 |
| Full Name | Dr Samuel Mark Ruben |
|---|---|
| Gender | Male |
| Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
| Location | 900 Leilani St, Hilo, Hawaii |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679606156 | NPI | - | NPPES |
| 03006790878 | Other | CA | ME# |
| 084538 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | MD5759 (Hawaii) | Secondary |
| 2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | A35819 (California) | Primary |
| Entity Name | Hoola Lahui Hawaii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245269976 PECOS PAC ID: 2860303021 Enrollment ID: O20031226000260 |
| Entity Name | Hamakua Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013993146 PECOS PAC ID: 8325940885 Enrollment ID: O20040123001043 |
| Entity Name | Hilo Urgent Care Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487750089 PECOS PAC ID: 7214825231 Enrollment ID: O20040310000188 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Samuel Mark Ruben, MD 2176 Kaiwiki Rd, Hilo, HI 96720-9722 Ph: (808) 430-2596 | Dr Samuel Mark Ruben, MD 900 Leilani St, Hilo, HI 96720-7512 Ph: (808) 430-2596 |
Michael Allen Goedde, M.D. Preventive Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Keawe St, Hilo, HI 96720 Phone: 808-437-8200 Fax: 808-201-9892 | |
Dr. Mary Ann Iyer, M.D. Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 50 Ululani St, Hilo, HI 96720 Phone: 808-933-2399 | |
Dr. James H Gollop, MD Preventive Medicine Medicare: Medicare Enrolled Practice Location: 45 Mohouli Street, Hilo, HI 96720 Phone: 808-969-3051 Fax: 808-969-3728 |