MRS. MARY ANN RAMBUS PA
NPI 1205065547
Physician Assistant in Detroit, MI

Q: What is Mary Rambus's NPI number?

The NPI number for Mary Rambus is 1205065547. It was assigned to this individual provider in the NPPES registry on July 8, 2009. The provider is also known as Mrs. Mary Ann Elliott Pa-C.

Q: What is Mary Rambus's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Mary Rambus was last updated on July 8, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 08, 2009

4646 JOHN R ST, DETROIT, MI 48201(313) 576-1000(313) 576-1112 Get Directions Write a Review

NPPES record last updated: July 8, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mrs. Mary Ann Rambus Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. MARY ANN RAMBUS PA (NPI 1205065547) is an individual physician assistant in Detroit, Michigan, licensed in Oklahoma (840748) and active in the NPI registry since July 2009.

NPPES Registry Identity

NPI1205065547

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. MARY ANN RAMBUSCredential: PA

Location Address4646 JOHN R STDetroit, MI 48201-1916

Mailing Address4646 John R StDetroit, MI 48201-1916 · (313) 576-1000 · Fax (313) 576-1112

Phone(313) 576-1000

Fax(313) 576-1112

Sole ProprietorNo

Enumeration DateJuly 8, 2009

✔ NPI 1205065547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in OK · 840748

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedSpecialist · Research StudyTaxonomy 1744R1102X · License 840748 (OK)

4646 JOHN R ST, Detroit, MI 48201

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Other Names 1

Former Name (1)Mrs. Mary Ann Elliott Pa-c

Other Identifiers 1

Other840748Physician Assistant

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. YURIJ CHERSTYLO

Student in an Organized Health Care Education/Training Program