MICHAEL MCCUBBIN, MD, PC (NPI# 1598983827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598983827 |
| Entity Type | Organization |
| Organization Name | MICHAEL MCCUBBIN, MD, PC |
| Other Organization Name | ALLERGY, LUNG AND SLEEP CENTER |
| Practice Address |
1108 Washington St Pella IA 50219-1508 |
| Practice Telephone | 6416211487 |
| Practice Fax Number | 6416211601 |
| Mailing Telephone | 6416211487 |
| Mailing Fax Number | 6416211601 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2010-11-10 |
| Authorized Official Name | MICHAEL M MCCUBBIN (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 6416211487 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
21379 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2192369 | 05 | |
| IA | WELLMARK | 35603 | 01 |
| WELLMARK | 35603 | 01 |
| Other Name | Type Code |
|---|---|
| Allergy, Lung and Sleep Center | Doing Business As Name - Organization |
| Street Address |
1108 WASHINGTON ST |
| City | PELLA |
| State | IA |
| Zip Code | 50219-1508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366967101 | Emily Rachel Dine | Specialist/Technologist | 812 University, Pella, IA 50219 | 2017-08-12 |
| 1588105597 | Brett Boddicker | Student in an Organized Health Care Education/Training Program | 812 University Street, Pella, IA 50219 | 2017-03-10 |
| 1053780098 | Jeremy Richard Dolder | Specialist/Technologist | 812 University St., Pella, IA 50219 | 2015-09-21 |
| 1588921084 | Michael Gary Walsh | Psychiatry & Neurology | 710 W 1st St, Pella, IA 50219 | 2012-04-20 |
| 1063788602 | Multicultural International Counseling Enterprises, Inc. | Psychologist | 311 Franklin Street, Pella, IA 50219 | 2012-03-28 |
| 1568798056 | Megan Lee Nelson | Physical Therapist | 405 Monroe Street, Pella, IA 50219 | 2009-10-19 |
| 1578783247 | Suzanne Vonseggern | Pharmacist | 1610 Vemeer Rd, East Plant 3, Pella, IA 50219 | 2007-04-26 |
| 1669513057 | Heather Renee Pilcher | Physical Therapy Assistant | 308 Se 9th St., Pella, IA 50219 | 2007-02-09 |
| 1164578134 | Walgreen Co. | Pharmacy | 1610 Vermeer Road East, Plant 3 1/2, Pella, IA 50219 | 2007-01-25 |
| 1841373289 | Jeffrey Frank Allen | Dentist | 839 Broadway, Pella, IA 50219 | 2006-10-21 |
| Find all providers in zip 50219 | ||||
| Taxonomy Code | 2080P0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Allergy/Immunology |
| A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: title modified, definition added, source added] Additional Resources: A Certification of Special Qualifications (CSQ) is issued by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437173812 | Mercy Professional Practice Associates, Inc. | Pediatrics | 1111 6th Ave, Main 3, Des Moines, IA 50314-2610 | 2006-07-27 |
| 1982689709 | Jeffrey Joseph Smith | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-12-14 |
| 1417943747 | Paul B Mccray Jr. | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-22 |
| 1144216722 | Richard C Ahrens | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-20 |
| 1356336044 | Miles M Weinberger | Pediatrics | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2005-09-19 |
Please comment or provide details below to improve the information on MICHAEL MCCUBBIN, MD, PC.
| 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.