| Tod Rubin, DO | |
|
4441 Atlanta Rd Se, Smyrna, GA 30080-6406 | |
| (770) 702-1806 | |
| (770) 693-0810 |
| Full Name | Tod Rubin |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 36 Years |
| Location | 4441 Atlanta Rd Se, Smyrna, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083677314 | NPI | - | NPPES |
| 000705658A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 040529 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Strong Memorial Hospital | Rochester, NY | Hospital |
| Wellstar North Fulton Hospital | Roswell, GA | Hospital |
| Glens Falls Hospital | Glens falls, NY | Hospital |
| Albany Medical Center Hospital | Albany, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mak Anesthesia Holdings, Llc | 4284917204 | 169 |
| Mak Anesthesia Georgia, Llc | 7315203718 | 92 |
| Albany Medical College | 1759293111 | 938 |
| U Of R Anesthesiology Group | 3476451105 | 242 |
| Entity Name | Emory Medical Care Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063452381 PECOS PAC ID: 4981501814 Enrollment ID: O20031217000968 |
| Entity Name | Wellstar Medical Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374 |
| Entity Name | Mak Anesthesia Holdings, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912452939 PECOS PAC ID: 4284917204 Enrollment ID: O20170216001563 |
| Entity Name | Mak Anesthesia Northside Affiliates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609390103 PECOS PAC ID: 7315203718 Enrollment ID: O20171116002499 |
| Entity Name | Radius Anesthesia Of Georgia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1861996225 PECOS PAC ID: 2567897127 Enrollment ID: O20200109000552 |
| Entity Name | Anesthesia Services Of Atlanta, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124657465 PECOS PAC ID: 6406252949 Enrollment ID: O20210908001767 |
| Entity Name | Fortis Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659960276 PECOS PAC ID: 8325446305 Enrollment ID: O20211005002270 |
| Mailing Address | Practice Location Address |
|---|---|
| Tod Rubin, DO Po Box 155, Austell, GA 30168-1002 Ph: (770) 732-3649 | Tod Rubin, DO 4441 Atlanta Rd Se, Smyrna, GA 30080-6406 Ph: (770) 702-1806 |
Frank Demarino, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 4441 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-702-1806 Fax: 770-693-0810 | |
Wilmer M Balaoing, MD Anesthesiology Medicare: May Accept Medicare Assignments Practice Location: 4441 Atlanta Rd Se, Smyrna, GA 30080 Phone: 770-702-1806 Fax: 770-693-0810 | |
Yetunde O. Olutunmbi, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3023 Montclair Cir Se, Smyrna, GA 30080 Phone: 716-807-1295 | |
Vinai Madhure Vishwanath, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5229 Fax: 770-438-4356 | |
Richard C Jarrell, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3949 S Cobb Dr Se, Smyrna, GA 30080 Phone: 770-438-5229 Fax: 770-438-4356 |