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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3733280 | Medicaid | TN | |
| 4122543 | Other | TN | BCBS |
Other names 1
- The Rubin Ward Heart Center, PLLC
National Provider Directory
National Provider DirectoryLocations
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.