MICHAEL A KUEBER JR. (NPI# 1578858171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578858171 |
| Entity Type | Individual |
| Full Name | MICHAEL A KUEBER JR. |
| Credential | MD |
| Practice Address |
450 Williams Way Moab UT 84532-2185 |
| Mailing Address |
2280 Rock Valley Rd Grand Junction CO 81507-1639 |
| Practice Telephone | 4357193510 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2020-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 10495615-1205 | UT | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | P9892 | TX | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 55346 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | ENROLLED | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1600 University Dr E, College Station, TX 778402642 | 9796913300 |
| Street Address |
450 WILLIAMS WAY |
| City | MOAB |
| State | UT |
| Zip Code | 84532-2185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700857398 | Moab Valley Healthcare Inc | Anesthesiology | 450 Williams Way, Moab, UT 84532 | 2006-01-31 |
| 1649883547 | Scl Health Medical Group - Grand Junction, LLC | Internal Medicine | 450 Williams Way, Moab, UT 84532-2185 | 2020-08-28 |
| 1255810123 | Matthew Okelberry | Physical Therapist | 450 Williams Way, Moab, UT 84532-2185 | 2018-08-10 |
| 1104336528 | Paul Edward Kionka | Occupational Therapist | 450 Williams Way, Moab, UT 84532-2185 | 2017-10-11 |
| 1134672371 | Hannah Elizabeth Bodenhamer | Physician Assistant | 450 Williams Way, Moab, UT 84532-2185 | 2016-07-24 |
| 1063826832 | Paul Michael Johnson | Family Medicine | 450 Williams Way, Moab, UT 84532-2185 | 2014-06-19 |
| 1881012235 | Lauren Prest | Psychiatry & Neurology | 450 Williams Way, Moab, UT 84532-2185 | 2014-04-02 |
| 1023454683 | Kimberly Franke | Orthopaedic Surgery | 450 Williams Way, Moab, UT 84532-2185 | 2013-05-21 |
| 1316288814 | James Walling | Radiology Practitioner Assistant | 450 Williams Way, Moab, UT 84532-2065 | 2013-03-07 |
| 1811289416 | Laird Ian Clark | Nurse Anesthetist, Certified Registered | 450 Williams Way, Moab, UT 84532-2185 | 2011-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386254316 | Andrew Soliz II | Case Manager/Care Coordinator | 48 N Shields Lane, Moab, UT 84532 | 2020-08-04 |
| 1023655420 | William Douglas Wennell | Registered Nurse | 198 E. Center St., Moab, UT 84532 | 2019-12-04 |
| 1295219962 | Jordan Johnson | Case Manager/Care Coordinator | 48 N. Shields Lane, Moad, UT 84532 | 2018-09-19 |
| 1659851681 | Grand County Emergency Medical Services Special Service District | Ambulance | 520 E 100 N, Moab, UT 84532 | 2018-08-20 |
| 1265937072 | Byron Clifton Palmer | Dentist | 2700 Us-191, Suite 1, Moab, UT 84532 | 2018-03-26 |
| 1902290588 | Katherine O'reilly | Advanced Practice Midwife | 51 North Mt.peale, Moab, UT 84532 | 2015-03-23 |
| 1235548108 | Tiffany Lee Ann Van Sickle | Case Manager/Care Coordinator | 198 E Center St., Moab, UT 84532 | 2014-08-05 |
| 1881991701 | Canyonlands Health Care Special Service District | Nursing Facility/Intermediate Care Facility | 390 W Williams Way, Moab, UT 84532 | 2011-02-14 |
| 1518267459 | Advance Medical Services, Inc | Durable Medical Equipment & Medical Supplies | 1105 South Highway Building 1, Moab, UT 84532 | 2010-10-26 |
| 1164694691 | Kenneth B Lindsay | Case Manager/Care Coordinator | 48 North Shields, Moab, UT 84532 | 2008-03-25 |
| Find all providers in zip 84532 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093957714 | Angela Alexander | Emergency Medicine | 450 Williams Way, Moab Regional Hospital, Moab, UT 84532-2065 | 2009-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700414216 | True North Health Navigation LLC | Emergency Medicine | 136 E South Temple Ste 1400, Salt Lake City, UT 84111-1143 | 2020-03-30 |
| 1609377589 | David A. Burton | Emergency Medicine | 1040 S Oak Hills Way, Salt Lake City, UT 84108-2024 | 2018-02-26 |
| 1184131922 | Wally Lee | Emergency Medicine | 3539 E Brighton Point Dr, Salt Lake City, UT 84121-5510 | 2018-01-02 |
| 1295240026 | Allison Mcphee | Emergency Medicine | 1021 E 3300 S, Salt Lake City, UT 84106-2142 | 2017-12-01 |
| 1104351592 | David Crockett | Emergency Medicine | University of Utah School of Medicine 30 N 1900 E 1c026, Salt Lake City, UT 84132-2147 | 2017-04-24 |
| 1003287970 | Marlene Hyndman | Emergency Medicine | 3024 S 600 W, Bountiful, UT 84010-8204 | 2015-10-16 |
| 1912384637 | Kyle Earl Nielsen | Emergency Medicine | 2292 N 1430 E, Provo, UT 84604 | 2015-05-01 |
| 1699152538 | Jinghui Li | Emergency Medicine | 2675 W Taylorsville Blvd, Taylorsville, UT 84129-2208 | 2015-04-29 |
| 1699160598 | Sean Damian Slack | Emergency Medicine | Division of Emergency Medicine School Of, 30 N 1900 E 1c026, Salt Lake City, UT 84132-0001 | 2015-03-30 |
| 1801201496 | Dwight Burdick | Emergency Medicine | 2665 E 2100 S, Salt Lake City, UT 84109-1372 | 2014-06-23 |
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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.