Rubin Burt Prater, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

35891 Issued in TN

Practice address

Highway 58 - Gallaher Road
K-1007, Ms-7422
Oak Ridge, TN 37831-4699

Phone

(865) 574-8562

Fax

(865) 241-4636

NPI assigned

Dec 24, 2009

Last updated

Dec 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261612800000",
    "number": "1215266135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11187 BIG CANOE",
            "city": "BIG CANOE",
            "state": "GA",
            "postal_code": "301435102",
            "telephone_number": "770-367-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HIGHWAY 58 - GALLAHER ROAD",
            "address_2": "K-1007, MS-7422",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378314699",
            "telephone_number": "865-574-8562",
            "fax_number": "865-241-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATER",
        "first_name": "RUBIN",
        "middle_name": "BURT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-24",
        "last_updated": "2009-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "35891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Oak Ridge, TN
• Providers in Oak Ridge, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.