CHUBE MEDICAL CORPORATION (NPI# 1356476287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356476287 |
| Entity Type | Organization |
| Organization Name | CHUBE MEDICAL CORPORATION |
| Practice Address |
1701 Broadway Gary IN 46407 |
| Mailing Address |
Po Box 269 1701 Broadway Gary IN 46407 |
| Practice Telephone | 2198820980 |
| Practice Fax Number | 2198825065 |
| Mailing Telephone | 2198820980 |
| Mailing Fax Number | 2198825065 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-09-27 |
| Authorized Official Name | MR. DAVID D CHUBE SR. (MD OWNER) |
| Authorized Official Telephone | 2198820980 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 01017944 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | 100161170 | 05 |
| Street Address |
1701 BROADWAY |
| City | GARY |
| State | IN |
| Zip Code | 46407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033676 | Gary City Urgent and Immediate Care | Clinic/Center | 1701 Broadway, Gary, IN 46407-2238 | 2020-08-10 |
| 1669555991 | David D Chube Sr. | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477802270 | Planned Parenthood of Indiana Gary | Clinic/Center | 1124 Broadway, Gary, IN 46407 | 2012-09-07 |
| 1891930913 | Angela Juanita Anderson | General Practice | 2353 Madison Street, Gary, IN 46407 | 2008-12-03 |
| 1548470537 | Rae Emerick | Speech-Language Pathologist | 2350 Taft Street, Gary, IN 46407 | 2007-05-22 |
| 1467577049 | Lavearn May | Registered Nurse | 308 E. 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1881719532 | Kenneth Hicks | Social Worker | 308 East 21st Avenue, Gary, IN 46407 | 2007-03-20 |
| 1346263217 | Pulaski Memorial Hospital | Nursing Facility/Intermediate Care Facility | 700 E 21st Ave, Gary, IN 46407 | 2006-07-25 |
| 1477042505 | Ileana Green | Nurse Practitioner | 1400 Broadway, Gary, IN 46407 | 2018-05-03 |
| 1275734949 | Kenneth Edward Anderson | Speech-Language Pathologist | 2350 Taft St, Timberview Health Care Center, Gary, IN 46407 | 2007-05-30 |
| 1093261992 | Millennium Ultrasound LLC | Spec/Tech, Cardiovascular | 1149 Polk St, Gary, IN 46407-1120 | 2016-08-30 |
| 1932301223 | Kipp Lead College Prep Charter School | Local Education Agency (LEA) | 150 W 15th Ave, Gary, IN 46407-1219 | 2007-05-31 |
| Find all providers in zip 46407 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730725292 | Tracey L Lester | Family Medicine | 103 Supply Street, Gary, WV 24836 | 2019-11-20 |
| 1811209398 | Mona Kaufman Stern | Family Medicine | 7535 E. Harold Ave, Gary, IN 46403-2146 | 2010-07-13 |
| 1245286137 | David R Carr | Family Medicine | Route 103 Supply Street, Gary, WV 24836 | 2006-05-25 |
| 1902851330 | Okolocha Medical Corp. | Family Medicine | 2054 Grant St, Gary, IN 46404-3060 | 2006-05-24 |
| 1255326088 | John Roger Ray | Family Medicine | Rr 103 Supply Street, Gary, WV 24836-0507 | 2005-09-19 |
| 1417942707 | Nathaniel T Ross | Family Medicine | 1619 W 5th Ave, Gary, IN 46404-1506 | 2005-09-13 |
| 1396730644 | David E Ross Jr. | Family Medicine | 1619 W 5th Avenue, Gary, IN 46404-1506 | 2005-09-13 |
| 1801894076 | Teofilo S Bautista | Family Medicine | 642 S Lake St, Gary, IN 46403-2967 | 2005-07-12 |
| 1902809379 | Ram C Gupta | Family Medicine | 2269 W 25th Ave, Gary, IN 46404-3367 | 2005-05-31 |
| 1174030605 | Chube2 Primary Care LLC | Family Medicine | 600 Grant St, Gary, IN 46402-6001 | 2018-01-05 |
| Find all providers in GARY | ||||
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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.