FRED KUBUS


Address: 2704 N Tenaya Way, Las Vegas, NV 89128-0424
Phone: 7022438500

FRED KUBUS (NPI# 1730572140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1730572140
Entity Type Individual
Full Name FRED KUBUS
Credential PA
Practice Address 2704 N Tenaya Way
Las Vegas
NV 89128-0424
Mailing Address Po Box 1955
Buffalo
NY 14240-1955
Practice Telephone 7022438500
Practice Fax Number 7022422712
Mailing Fax Number 7022422712
Enumeration Date 2015-03-09
Last Update Date 2017-10-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
020978 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NV 1730572140 05

Office Location

Street Address 2704 N TENAYA WAY
City LAS VEGAS
State NV
Zip Code 89128-0424

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851399109 Elizabeth Brewer Nurse Practitioner 2704 N Tenaya Way, Las Vegas, NV 89128-0424 2005-07-11
1790329407 Robert B. Mcbeath, Md II PC Internal Medicine 2704 N Tenaya Way, Las Vegas, NV 89128-0424 2019-11-05
1881237287 Toni Harris Physician Assistant 2704 N Tenaya Way, Las Vegas, NV 89128-0424 2019-10-18
1730745217 Heather Webb Nurse Practitioner 2704 N Tenaya Way, Las Vegas, NV 89128 2019-05-10
1215490453 Darneen Pang Nurse Practitioner 2704 N Tenaya Way, Las Vegas, NV 89128-0424 2019-04-12
1366919870 Ainin Alifah Kasdi Physician Assistant 2704 N Tenaya Way, Las Vegas, NV 89128-0424 2018-11-01
1871076588 Carlie Jane Thompson Physician Assistant 2704 N Tenaya Way, Las Vegas, NV 89128-0424 2018-09-09
1194173732 Natalia Ermakova Nurse Practitioner 2704 N Tenaya Way, Las Vegas, NV 89128 2016-05-24
1104273218 Moayad Ismail Internal Medicine 2704 N Tenaya Way, Las Vegas, NV 89128 2016-05-18
1457719635 Rebecca Stevens Physician Assistant 2704 N Tenaya Way, Las Vegas, NV 89128-0424 2016-02-03
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699374256 Dmc Medical Clinic Ltd Family Medicine 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 2020-10-23
1619589462 Eldercare Services Lv, LLC Technician 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 2020-08-21
1508477308 Amneris Lizet Duran-brocato Technician 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 2020-08-14
1366082612 Ar Home Health Management LLC Home Health 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 2020-01-14
1114563731 Leslie A Pasternack Acupuncturist Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 2019-11-19
1154977940 Devora Susana Leon-lopez Chore Provider 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 2019-08-16
1659924884 Blanca Estela Garnica-mendez Chore Provider 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 2019-07-17
1467913160 Sherwin Necunazar Azad Student in an Organized Health Care Education/Training Program Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 2019-03-26
1962963801 Michael Richard Korczynski Student in an Organized Health Care Education/Training Program 3100 North Tenaya Way, Las Vegas, NV 89128 2019-03-25
1013477041 Yuanlong Zhao Student in an Organized Health Care Education/Training Program 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 2019-03-25
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1821554106 Amy Hamilton Physician Assistant 5785 Centennial Center Blvd Ste 190, Las Vegas, NV 89149-7110 2019-02-12
1386145159 Kevin Refahiyat Physician Assistant 7150 S Durango Dr Ste 105, Las Vegas, NV 89113-2242 2018-02-26
1316487325 Nadiya-larissa Bateman Physician Assistant 2809 W Charleston Blvd # 150, Las Vegas, NV 89102-1998 2017-02-24
1760840797 Ying Quan Physician Assistant 2995 S Jones Blvd Ste A, Las Vegas, NV 89146-5612 2016-02-04
1396121646 Lucas Michal Anderson Physician Assistant 9050 W Tropicana Ave, 1159, Las Vegas, NV 89147-8186 2015-08-09
1851631378 Matthew Sanders Physician Assistant 6870 S. Rainbow Blvd, Suite 106, Las Vegas, NV 89118 2013-02-20
1285973289 Jesus Angel Corn Sotelo Physician Assistant 4225 S Eastern Ave Ste 8, Las Vegas, NV 89119-5485 2013-02-11
1952675993 Donald Patrick Mcgrorey Md Pllc Physician Assistant 6440 N Durango Dr Bldg A, Las Vegas, NV 89149-8513 2012-03-07
1508136375 Leigh Richards Boeckle Physician Assistant 9033 W Sahara Ave, Las Vegas, NV 89117 2012-01-10
1225315229 Samantha J Van Ginneken Physician Assistant 8020 S Rainbow Blvd Ste 100, Box #536, Las Vegas, NV 89139-6494 2011-11-04
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Competitor

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City LAS VEGAS
Zip Code 89128

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Dataset Information

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.

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