DR. BARRY MICHAEL RUBIN M.D., NPI 1770580607 — SILVER SPRING (MD)

NPI 1770580607

14+ Years Experience Individual

DR. BARRY MICHAEL RUBIN M.D.

07.07.2005
PROVIDER ENUMERATION DATE
07.06.2016
LAST UPDATE DATE
1770580607
NPI NUMBER

About DR. BARRY MICHAEL RUBIN

Sole proprietor? No, Entity Type 1 Provider (Individual) is not a Sole Proprietor.

DR. BARRY MICHAEL RUBIN is a provider established in SILVER SPRING, MD. The NPI number of DR. BARRY MICHAEL RUBIN is 1770580607 and was assigned on 07.07.2005. The practitioners primary taxonomy code is: 207RG0100X with license number: D0047499 MD .

Mailing address

  • City: SILVER SPRING
  • State: MD
  • Postal code: 209041663
  • Phone: 2404855200
  • Fax: 3016256906
  • Address: 12510 PROSPERITY DR
  • Address 2: SUITE 200

Primary Practice Address

  • Region : SILVER SPRING, MD
  • NPI : 1770580607
  • Phone : 3015932002
  • Fax : 3015934781
  • Postalcode : 209011556
  • Address : 10801 LOCKWOOD DR #200

Provider taxonomy - Internal Medicine

  • Taxonomy code: 207RG0100X
  • License number: D0047499
  • License state: MD

The taxonomy is the primary taxonomy (there can be only one per NPI record).

Taxonomy description: An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Contacts:

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  • DR. BARRY MICHAEL RUBIN M.D.
  • Address : 10801 LOCKWOOD DR #200
  • Region : SILVER SPRING, MD
  • NPI : 1770580607
  • Phone : 3015932002
  • Fax : 3015934781
  • Postalcode : 209011556

Reference NPI Information. Full replica of the CMS (NPPES) NPI record

Field Name Value
Provider First Line Business Practice Location Address10801 LOCKWOOD DR
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Second Line Business Practice Location Address#200
The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City NameSILVER SPRING
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State NameMD
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code209011556
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Telephone Number3015932002
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number3015934781
The fax number associated with the location address of the provider being identified.
NPI1770580607
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Healthcare Provider Taxonomy 1207RG0100X
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Provider Enumeration Date07.07.2005
The date the provider was assigned a unique identifier (assigned an NPI).
Last Updated07.06.2016
The date that a record was last updated or changed.
Entity TypeIndividual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Organization Name (Legal Business Name)DR. BARRY MICHAEL RUBIN
Provide organization name (legal business name used to file tax returns with the IRS). The Organization Name field allows the following special characters: ampersand, apostrophe, "at" sign, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Line Business Mailing Address12510 PROSPERITY DR
The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
Provider Second Line Business Mailing AddressSUITE 200
The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
Provider Business Mailing Address City NameSILVER SPRING
The City name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address City name".
Provider Business Mailing Address State NameMD
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
Provider Business Mailing Address Postal Code209041663
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
Provider Business Mailing Address Telephone Number2404855200
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number3016256906
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
Healthcare Provider Taxonomy Code #1207RG0100X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1Internal Medicine
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Provider License Number 1D0047499
Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code 1MD
Healthcare Provider Primary Taxonomy Switch 1Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
Provider Gender CodeM
  • M - male
  • F - female
Is sole proprietorN
  • X - Not Answered
  • Y - Yes, Entity Type 1 Provider (Individual) is a Sole Proprietor
  • N - No, Entity Type 1 Provider (Individual) is not a Sole Proprietor
X

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