RUBIS PLASTIC SURGERY PLLC NPI 1013071166

NPI Information

NPI: 1013071166
Provider Name: RUBIS PLASTIC SURGERY, PLLC
Classification: Surgery - 2086S0122X
Specialization: Plastic and Reconstructive Surgery
Entity Type: Organization
Address: 10119 E 80TH ST
SUITE A
TULSA, OK
ZIP 74133
Phone: (918) 254-6793

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NPI Details

RUBIS PLASTIC SURGERY, PLLC is a plastic and reconstructive surgery surgery in Tulsa, OK. The provider is a surgeon who specializes in plastic and reconstructive surgery. RUBIS PLASTIC SURGERY, PLLC NPI is 1013071166. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10119 E 80TH ST
SUITE A
TULSA, OK
ZIP 74133-407
Phone: (918) 254-6793
Fax: (918) 254-6796

The provider's authorized official is Brent A. Rubis .
The authorized official title is Owner and has the following contact phone number (918) 254-6793.

The enumeration date for this NPI number is 12/21/2006 and was last updated on 6/18/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2082S0105X	Plastic Surgery	Surgery of the Hand	21510	OKLAHOMA	No
2	2086S0122X	Surgery	Plastic and Reconstructive Surgery	21510	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	100749040A	MEDICAID	OKLAHOMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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