KENT DAVID STUBER (NPI# 1063647642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063647642 |
| Entity Type | Individual |
| Full Name | KENT DAVID STUBER |
| Credential | MD |
| Practice Address |
3976 University Lake Dr Anchorage AK 99508-4644 |
| Practice Telephone | 9077292083 |
| Practice Fax Number | 9077291557 |
| Mailing Telephone | 9077292083 |
| Mailing Fax Number | 9077291557 |
| Enumeration Date | 2009-05-26 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 125925 | AK | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 27191 | OK | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
125925 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 1063647642 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 940 Ne 13th St, Chnp 5351, Oklahoma City, OK 731045008 | 4052714417 |
| Street Address |
3976 UNIVERSITY LAKE DR |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467674275 | Natalia Korneeva | Obstetrics & Gynecology | 3976 University Lake Dr, Anchorage, AK 99508-4644 | 2007-05-02 |
| 1841717980 | Angelia Clark Trujillo | Nurse Practitioner | 3976 University Lake Dr, Anchorage, AK 99508-4644 | 2017-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073130415 | Arctic Aurora, LLC | Internal Medicine | 701 E Tudor Rd Ste 140, Anchorage, AK 99503-7459 | 2020-07-01 |
| 1962581249 | Marek A Martynowicz | Internal Medicine | 3260 Providence Dr Ste 523, Anchorage, AK 99508-4608 | 2006-11-06 |
| 1700846003 | Norman James Wilder | Internal Medicine | 10201 Sidorof Lane, Anchorage, AK 99507-6420 | 2006-03-23 |
| 1518936871 | John M Clark | Internal Medicine | 3220 Providence Dr, Ste E3040, Anchorage, AK 99508 | 2006-03-17 |
| 1407838170 | Gregory Dale Gerboth | Internal Medicine | 3300 Providence Dr Ste B208, Anchorage, AK 99508 | 2005-11-17 |
| 1669094421 | Marek Martynowicz Inc. | Internal Medicine | 3260 Providence Dr Ste 523, Anchorage, AK 99508-4608 | 2020-05-14 |
| 1932229606 | Norman J. Wilder, M.d. | Internal Medicine | 10201 Sidorof Lane, Anchorage, AK 99507-6420 | 2007-03-29 |
| 1295855716 | Pulmonary Associates LLC | Internal Medicine | 3220 Providence Dr, Suite E 3040, Anchorage, AK 99508-4615 | 2007-03-29 |
| 1225158744 | Buffinton B. Burtis, M.d. | Internal Medicine | 3200 Providence Dr, Anchorage, AK 99508-4615 | 2007-03-29 |
| 1184606956 | Beth Ann Baker | Internal Medicine | 2841 Debarr Road, Suite 50, Anchorage, AK 99508 | 2005-11-17 |
| Find all providers in ANCHORAGE | ||||
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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.