Gary S Roubin, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

14986 Issued in AL

Practice address

3980 Colonnade Pkwy
Birmingham, AL 35243-2382

Phone

(205) 510-5000

Fax

(205) 599-9080

NPI assigned

Apr 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Lenox Hill Interventional Cardiac & Vascular Services PC

  • Interventional Cardiology Physician
  • New York, NY
  • NPI 1265452015
  NPD (past)
• Utah Heart Clinic. LC

  • Cardiovascular Disease Physician
  • Murray, UT
  • NPI 1811093453
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410912000000",
    "number": "1386601136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432382",
            "telephone_number": "205-510-5000",
            "fax_number": "205-599-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 COLONNADE PKWY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352432382",
            "telephone_number": "205-510-5000",
            "fax_number": "205-599-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUBIN",
        "first_name": "GARY",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2014-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "207838",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AL",
            "license": "14986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01777311",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Noah Kyker Rothman
• Weston H Rothrock, M.D.
• Andrew J Rothstein, O.D.
• Rachel Rothstein, O.D.
• Scott Thomas Rottinghaus, M.D.
• Victoria Roughsedge, RDN, LD
• Roundbell International Service
• Ashlie Rouse
• Laura Beth Rouse, CRNA
• Mitchell Rouse, PT, DPT

• Interventional Cardiology Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Interventional Cardiology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; 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.