Active NPI
Sidney David Rubinow, D.O.
- Obstetrics & Gynecology Physician
- Colorado Springs, CO
National Provider Identifier
1396747093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25275
- Practice address
- 740 Nebula CT
Colorado Springs, CO 80906-0905 - Phone
- (719) 475-8994
- Fax
- (719) 575-9930
- NPI assigned
- Aug 11, 2005
- 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25275 | CO | Primary |
Addresses
Primary practice location
740 Nebula CT
Colorado Springs, CO 80906-0905
Mailing address
740 Nebula CT
Colorado Springs, CO 80906-0905
Phone (719) 475-8994
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01252758 | Medicaid | CO |
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25275 | CO | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1244073600000",
"number": "1396747093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "740 NEBULA CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809060905",
"telephone_number": "719-475-8994",
"fax_number": "719-575-9930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 NEBULA CT",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809060905",
"telephone_number": "719-475-8994",
"fax_number": "719-575-9930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBINOW",
"first_name": "SIDNEY",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-11",
"last_updated": "2009-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CO",
"license": "25275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01252758",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.