Active NPI
Mark a Rubin, MD, PA
- Colon & Rectal Surgery Physician
- West Monroe, LA
National Provider Identifier
1871707331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- 15728
- Legal business name
- MARK A RUBIN, MD, PA
- Practice address
- 1903 North 7TH Street
West Monroe, LA 71291-4415 - Phone
- (318) 325-1087
- Fax
- (318) 325-1089
- NPI assigned
- May 10, 2007
- 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. Mark A Rubin, MD
- Title
- Owner
- Phone
- (318) 325-1087
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 15728 | LA | |
| Colon & Rectal Surgery Physician | 208C00000X | 15728 | LA | Primary |
Addresses
Primary practice location
1903 North 7TH Street
West Monroe, LA 71291-4415
Mailing address
1903 North 7TH Street
West Monroe, LA 71291-4415
Phone (318) 325-1087
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962805 | Medicaid | LA |
National Provider Directory
National Provider DirectoryLocations
1903 N 7th St
West Monroe, LA 71291
Phone (318) 325-1087
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178755200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1199664000000",
"number": "1871707331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 NORTH 7TH STREET",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914415",
"telephone_number": "318-325-1087",
"fax_number": "318-325-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 NORTH 7TH STREET",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712914415",
"telephone_number": "318-325-1087",
"fax_number": "318-325-1089"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARK A RUBIN, MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-10",
"last_updated": "2008-01-07",
"status": "A",
"authorized_official_last_name": "RUBIN",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "318-325-1087",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "LA",
"license": "15728",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Colon & Rectal Surgery",
"state": "LA",
"license": "15728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962805",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.