SCOTT D RUBIN (NPI# 1649257031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1649257031 |
Entity Type | Individual |
Full Name | SCOTT D RUBIN |
Credential | PA |
Practice Address |
3400 Main Street Springfield MA 01107-1113 |
Mailing Address |
280 Chestnut St Springfield MA 01107-1619 |
Practice Telephone | 4137949560 |
Mailing Telephone | (413) 794-5700 |
Enumeration Date | 2005-12-27 |
Last Update Date | 2018-03-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA012 | MA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
000423 | CT | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | NPI | 1649257031 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
336 N Main St, Hartford Medical Group, West Hartford, CT 061172510 | 8602324891 | 8602361016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629036165 | Scott Rubin | Chiropractor | 1500 Mlk St N, St Petersburg, FL 33704-4202 | 2006-05-03 |
1780752485 | Scott S Rubin | Speech-Language Pathologist | 1900 Gravier St, 9th Floor, New Orleans, LA 70112-2262 | 2006-12-01 |
1528169448 | Scott Alvin Rubin | Psychiatry & Neurology | 5440 West Sahara, Ste 202, Las Vegas, NV 89146 | 2006-09-25 |
Street Address |
3400 MAIN STREET |
City | SPRINGFIELD |
State | MA |
Zip Code | 01107-1113 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407274574 | Alliam Regan | Internal Medicine | 3400 Main Street, Springfield, MA 01107-1113 | 2014-04-04 |
1346684552 | Brittany L. Halbardier | Pediatrics | 3400 Main Street, Springfield, MA 01107-1113 | 2013-04-18 |
1316280605 | Cambel M. Berk | Internal Medicine | 3400 Main Street, Springfield, MA 01107-1113 | 2013-04-04 |
1467432229 | Wendelin K. Reymond | Family Medicine | 3400 Main Street, Springfield, MA 01107-1113 | 2006-01-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740702547 | Domingo Nieves Jr. | Counselor | 2225 Main St., Springfield, MA 01107 | 2017-07-13 |
1801318266 | Denise Lawson | Counselor | 2257 Main Street, Springfield, MA 01107 | 2017-07-07 |
1568912491 | Trina Cysz | Nurse Practitioner | 101 Wason Avenue, Commonwealth Care Alliance, Springfield, MA 01107 | 2016-10-04 |
1609322262 | Toheeb Oladimeji Bakare | Counselor | 322 Birnie Avenue, Springfield, MA 01107 | 2016-09-01 |
1952701161 | Jalissa Sostre | Counselor | 32 Abbe Ave, Springfield, MA 01107 | 2014-08-26 |
1659799161 | Elizabeth A. Otmaskin | Obstetrics & Gynecology | 3455 Main Street Suite C, Baysttate Ob Gyn Group Inc, Springfield, MA 01107 | 2014-04-01 |
1205268885 | Catherine Matejcek Davies | Counselor | 246 Park Street, Springfield, MA 01107 | 2013-08-06 |
1750723268 | Jasdeep S. Badwal | Allergy & Immunology | 2 Medical Center Dr Ste 406, Springfield, MA 01107 | 2013-07-25 |
1255691846 | Medical Express Urgent Care Center, Co. Inc. | Physical Medicine & Rehabilitation | 438 Chestnut Street, Springfield, MA 01107 | 2012-05-17 |
1205166642 | Matthew R Kelley | Audiologist | 100 Wason, Suite 100, Springfield, MA 01107 | 2010-01-07 |
Find all providers in zip 01107 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871122168 | Alexandra Emmanuelle Rochman | Physician Assistant | 54 W Crystal Brook Dr, Springfield, MA 01118-1946 | 2020-04-07 |
1740740737 | Western New England University | Physician Assistant | 215 Wilbraham Road, Springfield, MA 01119 | 2019-03-25 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
1770850216 | Lauren Jennifer Navas | Physician Assistant | 100 River St Ste 2, Springfield, VT 05156-2930 | 2011-11-29 |
1295885168 | Jacqueline Kernaghan | Physician Assistant | 723 Saxer Ave, Springfield, PA 19064-3503 | 2007-01-11 |
1295746733 | Gwen Wright | Physician Assistant | 194 W Sproul Rd, Suite 105, Springfield, PA 19064-2027 | 2006-08-10 |
1164490710 | Stacie L Pierce | Physician Assistant | 3721 W El Castile St, Springfield, MO 65807-5431 | 2006-03-09 |
1245206432 | Annette K Bates | Physician Assistant | 819 Worcester St Ste 3, Springfield, MA 01151-1056 | 2006-02-27 |
1518947159 | Louis Patrick Favata | Physician Assistant | 140 High St., Springfield, MA 01199 | 2006-01-19 |
1679556385 | Patrick E. Madden | Physician Assistant | 2 Medical Center Drive, Suite 406, Springfield, MA 01107 | 2005-11-28 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01107 |
Please comment or provide details below to improve the information on SCOTT D RUBIN.
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.