| Ruby Cureg, MD | |
|
1601 Nw 114th St, Suite 345, Clive, IA 50325-7007 | |
| (515) 222-7337 | |
| Not Available |
| Full Name | Ruby Cureg |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 1601 Nw 114th St, Clive, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225147333 | NPI | - | NPPES |
| 1084962 | Medicaid | IA | |
| 32016 | Other | IA | WELLMARK BLUE SHIELD |
| 2084962 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 19256 (Iowa) | Primary |
| Entity Name | Broadlawns Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467447508 PECOS PAC ID: 3678466166 Enrollment ID: O20040206000913 |
| Mailing Address | Practice Location Address |
|---|---|
| Ruby Cureg, MD Po Box 1475, Des Moines, IA 50306-1475 Ph: (515) 643-4973 | Ruby Cureg, MD 1601 Nw 114th St, Suite 345, Clive, IA 50325-7007 Ph: (515) 222-7337 |
Jon Vanroekel, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Nw 114th St., Suite 345, Clive, IA 50325 Phone: 515-222-7337 Fax: 515-222-7340 | |
Stephanie D O'brien, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Nw 114th St Ste 345, Clive, IA 50325 Phone: 515-222-7337 Fax: 515-222-7340 | |
Sarah Cooper Jackson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1601 Nw 114th St Ste 345, Clive, IA 50325 Phone: 515-222-7337 Fax: 515-222-7340 | |
Dr. Brian Leo Waggoner, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2555 Berkshire Pkwy Ste A, Clive, IA 50325 Phone: 515-987-0051 Fax: 515-987-0054 |