Organization Active NPI

Barry a. Rubin D.O. Inc

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1366569725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02265 05088 Issued in OH
Legal business name
BARRY A. RUBIN D.O. INC
Practice address
431 Ohio Pike Ste 209
Cincinnati, OH 45255-3374
Phone
(513) 528-4101
Fax
(513) 528-0735
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Barry A. Rubin, D.O.
Title
President
Phone
(513) 528-4101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 02265 05088 OH Primary

Addresses

Primary practice location

431 Ohio Pike Ste 209
Cincinnati, OH 45255-3374

Mailing address

431 Ohio Pike Ste 209
Cincinnati, OH 45255-3374
Phone (513) 528-4101

Other identifiers 1

IdentifierTypeStateIssuer
024496MedicaidOH

National Provider Directory

National Provider Directory

Locations

431 Ohio Pike
Ste 209N
Cincinnati, OH 45255
Phone (513) 527-4104

431 Ohio Pike
Ste 209
Cincinnati, OH 45255
Phone (513) 528-4101

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366569725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 209",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553374",
            "telephone_number": "513-528-4101",
            "fax_number": "513-528-0735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 OHIO PIKE STE 209",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553374",
            "telephone_number": "513-528-4101",
            "fax_number": "513-528-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY A. RUBIN D.O. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-528-4101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "02265       05088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024496",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.