Marshall William Rubin, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA 9104873 Issued in FL

Practice address

2257 N Baylen St
Pensacola, FL 32501-1703

Phone

(850) 595-1949

NPI assigned

Aug 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marshall.rubin.1@14940.direct.athenahealth.com

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.

• Marathon Health LLC

  • Family Medicine Physician
  • Pensacola, FL
  • NPI 1508473588
  NPD

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654992000000",
    "number": "1699921940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2257 N BAYLEN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011703",
            "telephone_number": "850-595-1949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2257 N BAYLEN ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325011703",
            "telephone_number": "850-595-1949"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6010 W Amarillo Blvd",
            "address_2": "Amarillo HCS",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791061990",
            "country_code": "US",
            "telephone_number": "806-355-9703 x7063",
            "fax_number": "806-468-1523",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUBIN",
        "first_name": "MARSHALL",
        "middle_name": "WILLIAM",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-18",
        "last_updated": "2022-06-12",
        "certification_date": "2022-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9104873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doty Roye
• Katelyn Paige Royer, LCSW
• Rochael Savannah Rozhanskiy, LMT
• RSL Living Pensacola, LLC
• Robert Frank Rubey, MD
• Yaron Rubin
• Maxine J Rudison, RN
• Cionna Rudolph
• Felicia Rudolph
• Keiona Rudolph, MSW, LCSW

• Physician Assistant in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.