Organization Active NPI

Center for Neurological Treatment & Research, PLLC

  • Neurology Physician
  • Smyrna, TN
National Provider Identifier
1689614406
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD19415 Issued in TN
Legal business name
CENTER FOR NEUROLOGICAL TREATMENT & RESEARCH, PLLC
Practice address
301 Quecreek Cir
Smyrna, TN 37167-6834
Phone
(615) 355-5510
Fax
(615) 355-8699
NPI assigned
Jun 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Authorized official

Name
Dr. Richard Rubinowicz, M.D.
Title
Chief Manager
Phone
(615) 355-5510

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084N0400X MD19415 TN Primary
Sleep Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084S0012X DO1145 TN

Addresses

Primary practice location

301 Quecreek Cir
Smyrna, TN 37167-6834

Mailing address

301 Quecreek Cir
Smyrna, TN 37167-6834
Phone (615) 355-5510

Other identifiers 17

IdentifierTypeStateIssuer
10080086MedicaidTN
130020427OtherTNRAILROAD MEDICARE
2148317OtherTNCIGNA
2177476OtherTNCIGNA
3042647MedicaidTN
5430482OtherTNAETNA
3802609MedicaidTN
TN0101MedicaidTN
0094864OtherTNBLUECROSS BLUESHIELD
3042648MedicaidTN
01038929MedicaidTN
10080085MedicaidTN
6508106OtherTNCIGNA
130025292OtherTNRAILROAD MEDICARE
3039399OtherTNBLUE CROSS BLUESHIELD
GC4522OtherTNRAILROAD MEDICARE
TN0107MedicaidTN

National Provider Directory

National Provider Directory

Locations

1750 Memorial Dr
Ste B
Clarksville, TN 37043
Phone (931) 245-2086

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403568000000",
    "number": "1689614406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 QUECREEK CIR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676834",
            "telephone_number": "615-355-5510",
            "fax_number": "615-355-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 QUECREEK CIR",
            "city": "SMYRNA",
            "state": "TN",
            "postal_code": "371676834",
            "telephone_number": "615-355-5510",
            "fax_number": "615-355-8699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR NEUROLOGICAL TREATMENT & RESEARCH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2014-06-24",
        "status": "A",
        "authorized_official_last_name": "RUBINOWICZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CHIEF MANAGER",
        "authorized_official_telephone_number": "615-355-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "MD19415",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "TN",
            "license": "DO1145",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10080086",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130020427",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2148317",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "2177476",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3042647",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5430482",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3802609",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0094864",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3042648",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01038929",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10080085",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6508106",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "130025292",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "3039399",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "GC4522",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "TN0107",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.