DR. MICHAEL M MCCUBBIN


Address: 1108 Washington Street, Pella, IA 50219
Phone: 6416211487

DR. MICHAEL M MCCUBBIN (NPI# 1790708451) 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) 1790708451
Entity Type Individual
Full Name DR. MICHAEL M MCCUBBIN
Credential M.D.
Practice Address 1108 Washington Street
Pella
IA 50219
Mailing Address 1801 Hickman Rd
Des Moines
IA 50314-1505
Practice Telephone 6416211487
Mailing Telephone 5152824015
Mailing Fax Number 5152826235
Enumeration Date 2006-07-25
Last Update Date 2014-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207K00000X Allergy & Immunology 21379 IA Allopathic & Osteopathic Physicians
N 207KA0200X Allergy & Immunology
Specialization: Allergy
21379 IA Allopathic & Osteopathic Physicians
N 2080P0214X Pediatrics
Specialization: Pediatric Pulmonology
21379 IA Allopathic & Osteopathic Physicians
Y 207RS0012X Internal Medicine
Specialization: Sleep Medicine
21379 IA Allopathic & Osteopathic Physicians
N 2080S0012X Pediatrics
Specialization: Sleep Medicine
21379 IA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
IA 2192369 05
IA WELLMARK BCBS 35603 01
IA RAILROAD MEDICARE DD1839 01

Office Location

Street Address 1108 WASHINGTON STREET
City PELLA
State IA
Zip Code 50219

Providers in the same zip code

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 Information

Taxonomy Code 207RS0012X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Sleep Medicine

Taxonomy Definition

An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Notes: Source: American Academy of Sleep Medicine, www.aasm.org [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1235610957 Dsm Sleep Specialists Internal Medicine 1275 Nw 128th St Ste 200, Clive, IA 50325-7403 2018-08-22
1043782154 Dsm Sleep Specialists Internal Medicine 1275 Nw 128th St Ste 200, Clive, IA 50325-7403 2018-12-31
1235660259 Medi-dent, Inc Internal Medicine 1050 15th St Sw, Suite #2, Mason City, IA 50401-5677 2017-03-22

Competitor

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City PELLA
Zip Code 50219

Improve Information

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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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