Active NPI
Dubin Orthopaedic Centre, PSC
- Prosthetic/Orthotic Supplier
- Middlesboro, KY
National Provider Identifier
1003013871
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 25458
- Legal business name
- DUBIN ORTHOPAEDIC CENTRE, PSC
- Practice address
- 705 N 12TH St
Ste 100
Middlesboro, KY 40965-1835 - Phone
- (606) 248-0050
- Fax
- (606) 248-8711
- NPI assigned
- Jun 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Sanford Dubin, M.D.
- Title
- President
- Phone
- (606) 248-0050
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 25458 | KY | Primary |
Addresses
Primary practice location
705 N 12TH St
Ste 100
Middlesboro, KY 40965-1835
Mailing address
705 N 12TH St Ste 100
PO Box 2897
Middlesboro, KY 40965-1835
Phone (606) 248-0050
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00196002 | Other | KY | MEDICARE PIN# DR DUBIN |
| 90004839 | Other | KY | KY MEDICAID DME |
| 000000059556-BCBS | Other | KY | BCBS GROUP # |
| 000000048909-BCBS | Other | KY | RONALD S. DUBIN, M.D. |
| 000000505007-BCBS | Other | KY | AMY L. JONES, PA-C |
| 95001780 | Medicaid | KY | |
| 4409001 | Other | KY | RAILROAD MEDICARE |
| 64254584 | Medicaid | KY |
Other names 1
- Kentucky Orthopaedic Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930066633 | KY | DME Supplier - Physician - Orthopedic/Orthopedic Surgery | 6103922331 | Practice locations: Middlesboro, KY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
National Provider Directory
National Provider Directory- Tax ID family
- Dubin Orthopedic Centre PSC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Middlesboro, KY
- NPI 1649601725
Locations
705 N 12th St
Ste 100
Middlesboro, KY 40965
Phone (606) 248-0050
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Corbin, KY
- NPI 1669732962
-
- Medical Physician Assistant
- Middlesboro, KY
- NPI 1922727601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268870400000",
"number": "1003013871",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 N 12TH ST STE 100",
"address_2": "PO BOX 2897",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409651835",
"telephone_number": "606-248-0050",
"fax_number": "606-248-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 N 12TH ST",
"address_2": "STE 100",
"city": "MIDDLESBORO",
"state": "KY",
"postal_code": "409651835",
"telephone_number": "606-248-0050",
"fax_number": "606-248-8711"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUBIN ORTHOPAEDIC CENTRE, PSC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-27",
"last_updated": "2010-03-18",
"status": "A",
"authorized_official_last_name": "DUBIN",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "SANFORD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-248-0050",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "KY",
"license": "25458",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN# DR DUBIN",
"identifier": "00196002",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KY MEDICAID DME",
"identifier": "90004839",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP #",
"identifier": "000000059556-BCBS",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RONALD S. DUBIN, M.D.",
"identifier": "000000048909-BCBS",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMY L. JONES, PA-C",
"identifier": "000000505007-BCBS",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95001780",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "4409001",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64254584",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kentucky Orthopaedic Clinic",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Middlesboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.