=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669459657
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AARON RUBIN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/29/2005
-----------------------------------------------------
Last Update Date | 08/13/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4881 SUGAR MAPLE DR
-----------------------------------------------------
City | WRIGHT PATTERSON AFB
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45433-5529
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-257-8718
-----------------------------------------------------
Fax | 937-904-8946
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2510 5TH ST
-----------------------------------------------------
City | WRIGHT PATTERSON AFB
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45433-7951
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 937-938-2801
-----------------------------------------------------
Fax | 937-904-8946
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207P00000X
-----------------------------------------------------
Taxonomy Name | Emergency Medicine Physician
-----------------------------------------------------
License Number | 0101238611
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2083A0100X
-----------------------------------------------------
Taxonomy Name | Aerospace Medicine Physician
-----------------------------------------------------
License Number | 0101238611
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 207PE0005X
-----------------------------------------------------
Taxonomy Name | Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
-----------------------------------------------------
License Number | 0101238611
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number | 0101238611
-----------------------------------------------------
License Number State | VA
-----------------------------------------------------