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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