DR. MITZI B. RUBIN (NPI# 1154403582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154403582 |
| Entity Type | Individual |
| Full Name | DR. MITZI B. RUBIN |
| Credential | M.D. |
| Practice Address |
3939 Roswell Rd 200 Marietta GA 30062-6251 |
| Practice Telephone | 7709732272 |
| Practice Fax Number | 7709739245 |
| Mailing Telephone | 7709732272 |
| Mailing Fax Number | 7709739245 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2011-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 049592 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3939 ROSWELL RD 200 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30062-6251 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346242229 | Susan Gail Staviss | Pediatrics | 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 | 2005-08-11 |
| 1578049656 | Christine Ghilain | Clinical Neuropsychologist | 3939 Roswell Rd, Marietta, GA 30062-6251 | 2018-07-12 |
| 1841722212 | Southeast Integrative Medicine | Naturopath | 3939 Roswell Rd, Suite 240, Marietta, GA 30062-6251 | 2017-04-03 |
| 1780924043 | Wellstar Medical Group, LLC | Pediatrics | 3939 Roswell Rd, Suite 300, Marietta, GA 30062-6251 | 2013-02-25 |
| 1275814964 | Wellstar Medical Group, LLC | Family Medicine | 3939 Roswell Rd, Suite 240, Marietta, GA 30062-6251 | 2011-09-08 |
| 1124251590 | Tanya Theriot, Psy.d., P.C. | Psychologist | 3939 Roswell Rd, Suite 185, Marietta, GA 30062-6251 | 2009-09-01 |
| 1952464505 | Marietta Eye Optical Inc | Durable Medical Equipment & Medical Supplies | 3939 Roswell Rd, Suite 100, Marietta, GA 30062-6251 | 2006-12-18 |
| 1689736860 | Marietta Eye Clinic, Pa | Optometrist | 3939 Roswell Rd, Suite 100, Marietta, GA 30062 | 2006-12-14 |
| 1992866818 | Robin Lisa King | Social Worker | 3939 Roswell Rd, Suite 185, Marietta, GA 30062-6251 | 2006-12-13 |
| 1851468078 | Parkway Therapy Services, Inc. Dba East Cobb Physical Therapy | Physical Therapist | 3939 Roswell Rd, Suite 160, Marietta, GA 30062-6251 | 2006-11-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578051 | Pamela D Kretzmer | Social Worker | 3855 Shallowford Road, Suite 420, Marietta, GA 30062 | 2020-11-03 |
| 1932714680 | Michelle Chambless | Physical Therapist | Team Rehabilitation Ga01, LLC, 1401 Johnson Ferry Road, Suite 340, Marietta, GA 30062 | 2020-09-10 |
| 1700408887 | Life University | Chiropractor | 1323 Roswell Road, Marietta, GA 30062 | 2020-05-12 |
| 1104451160 | Sno Healthcare Group | Clinic/Center | 2424 Roswell Rd Ste 120, Marietta, GA 30062 | 2020-03-10 |
| 1811536212 | Sandy Plains Dental Group, PC | Dentist | 3460 Sandy Plains Rd, Suite 240, Marietta, GA 30062 | 2020-01-02 |
| 1073159034 | Magdala Tulcie Jodesty-jackson | Social Worker | 4343 Shalloword Road, Building H, Suite 4 Lower Level, Marietta, GA 30062 | 2019-11-25 |
| 1598235178 | Matthew Driggers | Counselor | 4343 Shallowford Rd C2, Marietta, GA 30062 | 2018-11-27 |
| 1750895785 | Emily Grace Minday | Counselor | 4343 Shallowford Road Building C, Suite 1 Lower Level, Marietta, GA 30062 | 2017-11-29 |
| 1477072122 | Jason Lee Amos | Speech-Language Pathologist | 3660 Chestnut Ridge Court, Marietta, GA 30062 | 2017-09-13 |
| 1346761376 | Marian Pomaah Opoku-agyeman | Nurse Practitioner | 4661 Andrea Pointe, Marietta, GA 30062 | 2017-06-29 |
| Find all providers in zip 30062 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053885327 | Clinica De La Salud Smyrna, Inc | Family Medicine | 1815 S Cobb Dr Se Ste 101, Marietta, GA 30060-4958 | 2019-01-19 |
| 1033689351 | H&h Weight Loss LLC | Family Medicine | 3600 Dallas Hwy Sw Ste 210, Marietta, GA 30064-1687 | 2018-11-29 |
| 1801380886 | Virginia Hinton | Family Medicine | 1738 Bertram Ln Sw, Marietta, GA 30008-4138 | 2018-06-21 |
| 1285145573 | Mitchell Scott Nudelman | Family Medicine | 577 Seminole Dr Ne, Marietta, GA 30060-1507 | 2017-10-13 |
| 1740649771 | Christine Morris | Family Medicine | 141 Lacy St Nw Ste 100, Marietta, GA 30060-1117 | 2016-02-18 |
| 1891110268 | Edith I. Okoi Chukwunyere | Family Medicine | 2337 Goodwood Dr Sw, Marietta, GA 30064-4335 | 2014-02-21 |
| 1629407549 | Candace M. Walker | Family Medicine | 3707 Largent Way, Well Star West Cobb Family Practice, Marietta, GA 30064 | 2013-11-01 |
| 1982959987 | Norman Glenn Marvin | Family Medicine | 4220 Lower Roswell Rd, Unit #7300, Marietta, GA 30068-4128 | 2012-07-17 |
| 1457626855 | Gena Marie Mastrogianakis | Family Medicine | 3595 Canton Rd Ste 116-289, Marietta, GA 30066-2658 | 2012-03-19 |
| 1710271010 | Roland Ngwang | Family Medicine | 2698 Foxglove Dr Sw, Marietta, GA 30064-4546 | 2011-06-03 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.