PAUL J STUBER (NPI# 1326108242) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326108242 |
| Entity Type | Individual |
| Full Name | PAUL J STUBER |
| Credential | MD |
| Practice Address |
1044 11th Ave Longview WA 98632-2506 |
| Mailing Address |
Po Box 2429 Longview WA 98632-8486 |
| Practice Telephone | 3605758275 |
| Practice Fax Number | 3605751948 |
| Mailing Telephone | 3605758275 |
| Mailing Fax Number | 3605751948 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2011-09-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD0015256 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | LABOR INDUSTRIES | 119838 | 01 |
| WA | 1143403 | 05 |
| Street Address |
1044 11TH AVE |
| City | LONGVIEW |
| State | WA |
| Zip Code | 98632-2506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851347454 | Joyce Elaine Tobias | Nurse Practitioner | 1044 11th Ave, Suite A, Longview, WA 98632-2506 | 2006-05-25 |
| 1205454717 | Randi Lyn Powell Sexton | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2020-07-10 |
| 1821636143 | Bridie Jo Ann Rogers | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2019-12-17 |
| 1225596836 | Thomas Joseph Burckhardt Jr. | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2019-03-04 |
| 1689138729 | Alyssa Chana Fine | Registered Nurse | 1044 11th Ave, Longview, WA 98632-2506 | 2019-01-23 |
| 1285133876 | Angela Lynn Dunn | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2018-02-08 |
| 1710497839 | Christopher Leslie Standridge | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2017-10-03 |
| 1790215499 | Allison Taylor | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2017-06-14 |
| 1952840944 | Kelsey Delagrange | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2017-02-23 |
| 1679025019 | Leslie Pfannes | Counselor | 1044 11th Ave, Longview, WA 98632-2506 | 2016-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
| 1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
| 1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
| 1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
| 1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
| 1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
| 1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
| 1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
| 1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
| 1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
| Find all providers in zip 98632 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1982981049 | Hbmd Consulting LLC | General Practice | 1100 N 4th St, Longview, TX 75601-4739 | 2011-11-03 |
| 1821159492 | Sophie Michele Hoptowit | General Practice | 720 14th Avenue, Longview, WA 98632 | 2006-12-13 |
| 1013979053 | Richard English | General Practice | 950 N 4th St, Longview, TX 75601-5436 | 2006-04-05 |
| 1154390896 | William O. Stahl | General Practice | 1615 Delaware St, Longview, WA 98632-2310 | 2006-03-15 |
| 1720056187 | Peacehealth | General Practice | 1615 Delaware St, Longview, WA 98632-2367 | 2006-03-10 |
| 1780662643 | Wayne N Leeves | General Practice | 4002 Technology Ctr, Longview, TX 75605-2697 | 2006-01-02 |
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| 1740755651 | Alyssa Ann Yruegas | General Practice | 2108 W Spruce St, Moses Lake, WA 98837-2853 | 2018-10-06 |
| 1306321237 | Rainier Springs Physician Group, LLC | General Practice | 2805 Ne 129th Street, Vancouver, WA 98686 | 2018-09-26 |
| 1962916437 | Parkview Medical Group Inc | General Practice | 615 S Division St Ste A, Moses Lake, WA 98837-3800 | 2017-11-20 |
| 1790212496 | Thien Thanh Ho | General Practice | 12307 Douglas Rd, Yakima, WA 98908-9129 | 2017-05-12 |
| 1285173625 | Regenerative Medicine Institute, Pllc | General Practice | 731 N Stanley St, Medical Lake, WA 99022-8940 | 2017-02-17 |
| 1457708430 | James Bailey | General Practice | 9040 Jackson Ave Tripler Army Medical Center, Tacoma, WA 98431-5001 | 2016-05-19 |
| 1740635887 | Peter Chulhi Kang | General Practice | 1425 Spring St Apt 802, Seattle, WA 98104-1635 | 2016-04-26 |
| 1831551084 | Anna Hackenmiller | General Practice | 1657 S Nettleton Ln, Spokane, WA 99224-6108 | 2016-03-27 |
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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.