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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | 2192369 | 05 | |
IA | WELLMARK BCBS | 35603 | 01 |
IA | RAILROAD MEDICARE | DD1839 | 01 |
Street Address |
1108 WASHINGTON STREET |
City | PELLA |
State | IA |
Zip Code | 50219 |
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 | 207RS0012X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Sleep Medicine |
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] |
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 |
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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.