DR. BEVERLY J RUBINO (NPI# 1679826754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679826754 |
| Entity Type | Individual |
| Full Name | DR. BEVERLY J RUBINO |
| Credential | M.D. |
| Practice Address |
8406 N 123rd East Ave Owasso OK 74055-2130 |
| Practice Telephone | 9182322771 |
| Practice Fax Number | 9185858096 |
| Mailing Telephone | 9182322771 |
| Mailing Fax Number | 9185858096 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
20482 | OK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | OBN | 8729 | 01 |
| Street Address |
8406 N 123RD EAST AVE |
| City | OWASSO |
| State | OK |
| Zip Code | 74055-2130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151587 | Lakecrest Dental-owasso 96th | Dentist | 9551 N. Owasso Expressway, Suite #100, Owasso, OK 74055 | 2019-08-27 |
| 1205328697 | Eddie Duane Gaut | Case Manager/Care Coordinator | 110 W 3rd St., Apt 11, Owasso, OK 74055 | 2018-06-01 |
| 1821586694 | Kaitlyn Konarik | Speech-Language Pathologist | 12899 E 76th St N, Ste. 109, Owasso, OH 74055 | 2018-04-27 |
| 1043733769 | Kelsey Renae Nicklas | Case Manager/Care Coordinator | 9310 N 163rd East Ave, Owasso, OK 74055 | 2017-07-25 |
| 1700259256 | Genscripts Owasso, LLC | Pharmacy | 9538 N Garnett Rd, Suite 102, Owasso, OK 74055 | 2015-11-05 |
| 1770968810 | Premier Anesthesia Management Inc | Clinic/Center | 19236 E Twin Creeks Dr, Owasso, OK 74055 | 2015-07-29 |
| 1598152407 | Justin Lum | Physical Therapist | 12326 E 86th St N, Owasso, OK 74055 | 2015-04-17 |
| 1033507660 | Kimberly Louise Howard | Physical Therapy Assistant | 12899 East 76th St North, Owasso, OK 74055 | 2015-01-06 |
| 1780920629 | Timothy Ryan Thornton | Behavioral Analyst | 11330 N 94 E Ave, Owasso, OK 74055 | 2012-12-21 |
| 1679842785 | Kelli Marie Ellis | Counselor | 19760 E Fox Run Cir, Owasso, OK 74055 | 2011-12-19 |
| Find all providers in zip 74055 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241481 | Sara Abu Mehsen | Pathology | 940 Stanton L Young Blvd Ste 451, Oklahoma City, OK 73104-5020 | 2020-07-02 |
| 1316433295 | Syed Muhammad Shakaib Quadri | Pathology | 940 Stanton L. Young Blvd., Bmsb 451, Oklahoma City, OK 73104 | 2018-07-03 |
| 1457795270 | Wenyi Luo | Pathology | 1122 Ne 13th St # Ori236, Oklahoma City, OK 73117-1039 | 2013-04-23 |
| 1629399662 | Justin D. Jenkins | Pathology | 940 Sl Young Blvd, Wp 451, Oklahoma City, OK 73104-5020 | 2010-06-14 |
| 1902049141 | Corinna A Irwin | Pathology | 4208 Sw Lee Blvd Dept Of, Lawton, OK 73505-8331 | 2009-04-17 |
| 1366603953 | Rebecca S Simstein | Pathology | 940 Stanton L Young Blvd # 453, Oklahoma City, OK 73104-5020 | 2008-06-17 |
| 1083874168 | Chrystal Marjenhoff Pauley | Pathology | 940 Stanton L Young Blvd # 451, Oklahoma City, OK 73104-5020 | 2008-06-12 |
| 1619184900 | Xiao-cong Peng | Pathology | 840 Research Parkway, Dept. of Pathology, Labcorp At Okc, Oklahoma City, OK 73104 | 2007-05-17 |
| 1760520555 | Physicians Pathology Inc | Pathology | 17936 S 273rd W Ave, Bristow, OK 74010 | 2007-02-02 |
| 1245334739 | Steve E Rose | Pathology | 8803 S. 101st E. Ave, Suite 360, Tulsa, OK 74133 | 2006-09-12 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.