Provider Demographics
NPI:1508039280
Name:MARTIN J RUBINOWITZ, MD, PC
Entity Type:Organization
Organization Name:MARTIN J RUBINOWITZ, MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARISA
Authorized Official - Middle Name:CLAUDENE
Authorized Official - Last Name:HINOJOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-837-1488
Mailing Address - Street 1:PO BOX 151029
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-9029
Mailing Address - Country:US
Mailing Address - Phone:303-986-9504
Mailing Address - Fax:303-980-8431
Practice Address - Street 1:2005 FRANKLIN ST
Practice Address - Street 2:MIDTOWN II, #300
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5401
Practice Address - Country:US
Practice Address - Phone:303-837-1488
Practice Address - Fax:303-837-1463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2009-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO04010724Medicaid
KS100163750AMedicaid
COD01179OtherRR MEDICARE
NE=========02Medicaid
CO04010724Medicaid
NE=========02Medicaid
KS052823Medicare PIN