Organization
DUBIN ORTHOPAEDIC CENTRE, P.S.C.
Active
Organization
DUBIN ORTHOPAEDIC CENTRE, P.S.C.
Active
Other names
Kentucky Orthopedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD S. DUBIN M.D. (PRESIDENT)
(606) 248-0050
Entity
Organization
Contact information
Practice address
705 N 12TH ST, SUITE 100, MIDDLESBORO, KY 40965-1835
(606) 248-0050
(606) 248-8711
Mailing address
705 N 12TH ST STE 100, PO BOX 2897, MIDDLESBORO, KY 40965-1835
(606) 248-0050
(606) 248-8711
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
25458
KY
363AM0700X
Medical Physician Assistant
PA679
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000048909
R. DUBIN, M.D. IND ID#
KY
01
—
000000059556
BCBS GRP #
KY
01
—
000000505007
A. JONES, PA-C IND ID#
KY
01
—
00196
MEDICARE GROUP#
KY
01
—
00196002
MEDICARE PIN #
KY
01
—
0067174
TN BCBS
KY
01
—
085617
VA BCBS
KY
01
—
1359761
UMWA
KY
01
—
1467596585
MEDICARE RAILROAD GROUP NPI
KY
01
—
163844200
DEPT OF LABOR
KY
01
—
200033474
RAILROAD MEDICARE
KY
01
—
4409001
TN MEDICAID
KY
01
—
50009243
PHP
KY
01
—
6410111
VA MEDICAID
KY
05
—
64254584
—
KY
01
—
90004839
KY MEDICAID DME
KY
05
—
95001780
—
KY
Enumeration date
02/20/2007
Last updated
03/28/2011
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