Organization Active NPI

The Rubin Heart Center, PLLC

Doing business as The Rubin Ward Heart Center, PLLC

  • Cardiovascular Disease Physician
  • Bartlett, TN
National Provider Identifier
1760602379
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
THE RUBIN HEART CENTER, PLLC
Doing business as
The Rubin Ward Heart Center, PLLC
Practice address
6644 Summer Knoll Cir
Bartlett, TN 38134-2875
Phone
(901) 761-9092
Fax
(901) 761-9047
NPI assigned
Apr 26, 2007
Last updated
Aug 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Dr. Michael A Rubin, M.D.
Title
President
Phone
(901) 761-9092

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 30943 TN
Internal Medicine Physician 207R00000X 16442 TN
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

6644 Summer Knoll Cir
Bartlett, TN 38134-2875

Mailing address

6644 Summer Knoll Cir
Bartlett, TN 38134-2875
Phone (901) 761-9092

Other identifiers 2

IdentifierTypeStateIssuer
3733280MedicaidTN
4122543OtherTNBCBS

Other names 1

  • The Rubin Ward Heart Center, PLLC Doing business as

National Provider Directory

National Provider Directory

Locations

2095 Exeter Rd
Ste 80
Germantown, TN 38138
Phone (662) 336-1365

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1760602379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6644 SUMMER KNOLL CIR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-761-9092",
            "fax_number": "901-761-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6644 SUMMER KNOLL CIR",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381342875",
            "telephone_number": "901-761-9092",
            "fax_number": "901-761-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RUBIN HEART CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-761-9092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "30943",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "16442",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3733280",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4122543",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Rubin Ward Heart Center, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlett, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.