Arthur Bruce Rubin, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

731 Issued in WV

Practice address

830 Pennsylvania Ave
Suite 200
Charleston, WV 25302-3302

Phone

(304) 343-1863

Fax

(304) 344-1755

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295798312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 COLONIAL WAY",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253141921",
            "telephone_number": "304-343-1863",
            "fax_number": "304-344-1755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 PENNSYLVANIA AVE",
            "address_2": "SUITE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253023302",
            "telephone_number": "304-343-1863",
            "fax_number": "304-344-1755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "ARTHUR",
        "middle_name": "BRUCE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WV",
            "license": "731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112455000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaiya Roy
• Macie Roy
• Sherrie Royal, LPN
• Amia Royster
• Tammy Powell Rubicky, APRN-FNP-BC
• Kristie Ruble
• Olivia Rucker-Ehoussou
• Deborah Rucker
• Ethel Jean Rucker
• Myria Rucker

• Pediatrics Physician in Charleston, WV
• Providers in Charleston, WV by specialty
• Pediatrics Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.