Active NPI
Paul Scott Rubinton, M.D.
- Family Medicine Physician
- Bonita Springs, FL
National Provider Identifier
1144257817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME89941
- Practice address
- 3302 Bonita Beach Rd Ste 170
Bonita Springs, FL 34134-4217 - Phone
- (239) 624-1050
- Fax
- (239) 624-1051
- NPI assigned
- Jun 27, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME89941 | FL | Primary |
Addresses
Primary practice location
3302 Bonita Beach Rd Ste 170
Bonita Springs, FL 34134-4217
Mailing address
3302 Bonita Beach Rd
# 170
Bonita Springs, FL 34134-4174
Phone (239) 624-1050
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14SA1 | Other | FL | BCBS |
| 009446300 | Medicaid | FL | |
| HO019Z | Other | FL | MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21113 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palmetto Physical Medicine | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Rock Hill, SC
- NPI 1760674261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1144257817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 BONITA BEACH RD",
"address_2": "# 170",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344174",
"telephone_number": "239-624-1050",
"fax_number": "239-624-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 BONITA BEACH RD STE 170",
"city": "BONITA SPRINGS",
"state": "FL",
"postal_code": "341344217",
"telephone_number": "239-624-1050",
"fax_number": "239-624-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINTON",
"first_name": "PAUL",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "ME89941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "14SA1",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009446300",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "HO019Z",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bonita Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.