Organization Active NPI

Mark a Rubin, MD, PA

  • Colon & Rectal Surgery Physician
  • West Monroe, LA
National Provider Identifier
1871707331
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
15728 Issued in LA
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

Updated by the provider on Jan 7, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 15728 LA
Colon & Rectal Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1962805MedicaidLA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.