Active NPI
Ann Dorsey Rubin, PA
- Medical Physician Assistant
- Tallahassee, FL
National Provider Identifier
1578714747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- PA9104782
- Practice address
- 960 Learning Way
Tallahassee, FL 32306-4178 - Phone
- (850) 644-6230
- Fax
- (850) 644-4251
- NPI assigned
- Oct 7, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9104782 | FL | |
| Medical Physician Assistant | 363AM0700X | PA9104782 | FL | Primary |
Addresses
Primary practice location
960 Learning Way
Tallahassee, FL 32306-4178
Mailing address
960 Learning Way
Tallahassee, FL 32306-4178
Phone (850) 644-6230
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99388 | Other | FL | MEDICARE GROUP ASSOCIATION PTAN |
| 000637300 | Medicaid | FL |
Other names 1
- Ann H. Dorsey
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida State University | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Tallahassee, FL
- NPI 1699809236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1578714747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "960 LEARNING WAY",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323064178",
"telephone_number": "850-644-6230",
"fax_number": "850-644-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 LEARNING WAY",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323064178",
"telephone_number": "850-644-6230",
"fax_number": "850-644-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIN",
"first_name": "ANN",
"middle_name": "DORSEY",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-07",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9104782",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "FL",
"license": "PA9104782",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP ASSOCIATION PTAN",
"identifier": "99388",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000637300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "DORSEY",
"middle_name": "H.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.