VIRGINIA ANNE KOUBEK


Address: 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775
Phone: 7316641375

VIRGINIA ANNE KOUBEK (NPI# 1962644013) 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) 1962644013
Entity Type Individual
Full Name VIRGINIA ANNE KOUBEK
Credential M.D.
Practice Address 87 Murray Guard Dr Ste B
Jackson
TN 38305-3775
Mailing Address Po Box 400
Jackson
TN 38302-0400
Practice Telephone 7316641375
Practice Fax Number 7316608319
Mailing Telephone 7314238697
Mailing Fax Number 7314255783
Enumeration Date 2009-04-02
Last Update Date 2014-12-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207N00000X Dermatology 51924 TN Allopathic & Osteopathic Physicians

Office Location

Street Address 87 MURRAY GUARD DR STE B
City JACKSON
State TN
Zip Code 38305-3775

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740791847 Brian Blake Childress Physician Assistant 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 2017-10-16
1700266558 Buckley Parker Physician Assistant 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 2015-06-08
1841581261 Kimberly W Preston Nurse Practitioner 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 2011-04-20
1437386232 Emily T Wolfe Surgery 87 Murray Guard Dr Ste B, Jackson, TN 38305-3775 2009-06-18

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427656818 Kimaya Jelks Specialist 1869 45 Hwy Bypass, Suite 2b, Jackson, TN 38305 2020-10-16
1821600578 Maame Obeng Pharmacist 3144 North Highland Avenue, Jackson, TN 38305 2020-08-22
1700361904 James Cowie Psychologist 156c West University Pkwy, Jackson, TN 38305 2018-10-03
1700372109 Chad Zawacki Physician Assistant 147 North Star Drive, Jackson, TN 38305 2018-07-09
1104323070 Golden Years Adult Day Care Clinic/Center 155 Carriage Dr Suite A, Jackson, TN 38305 2018-04-09
1245754563 Tanika Annette Gillard Massage Therapist 4 Hampton Ln, Jackson, TN 38305 2017-07-28
1316488117 Lakisha T Ingram Counselor 168 Greencastle Dr, Jackson, TN 38305 2017-03-13
1619421567 D & L Wellness Inc Community/Behavioral Health 154 Carriage House Dr., Jackson, TN 38305 2016-08-09
1649637638 Advance Choice Home Care LLC In Home Supportive Care 1028 Ashport Rd., Jackson, TN 38305 2016-01-21
1942666151 Neurohealth Solutions Inc. Clinic/Center 174 Murray Guard Dr. Suite E, Jackson, TN 38305 2016-01-05
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Taxonomy Information

Taxonomy Code 207N00000X
Grouping Allopathic & Osteopathic Physicians
Classification Dermatology

Taxonomy Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427408319 Advanced Dermatology of Wyoming, Inc Dermatology 62 South Redmond Street, Jackson, WY 83001-8664 2016-06-21
1871814095 Elizabeth Anne Gordon Spratt Dermatology 3333 Spring Arbor Rd Ste 500, Jackson, MI 49203-8605 2010-06-22
1053532226 Julie P Wyatt Dermatology 3000 Old Canton Rd Ste 430, Jackson, MS 39216 2007-05-02
1265653745 Brittany Wilson Baker Dermatology 984 W Broadway, Suite 4, Jackson, WY 83001-0000 2007-05-01
1982705570 Louis Julian Wise Jr. Dermatology 3000 Old Canton Road, Suite 430, Jackson, MS 39216 2006-09-26
1215940937 Sterling Ruffin Craig Dermatology 2817 North Highland Avenue, Suite A, Jackson, TN 38305-1789 2006-08-14
1366459026 Chemene Quinn Dermatology 501 Marshall St Ste 406, Dermatology Consultants, Pllc, Jackson, MS 39202-1650 2006-08-02
1609893296 Kenneth R. Maloney Dermatology 294 Summar Drive, Jackson, TN 38301 2006-07-17
1720039423 William P Teer Dermatology 1320 Union University Dr, Jackson, TN 38305-3780 2006-05-15
1447233754 Jonathan Glenn Baker Dermatology 984 West Broadway, Suite 4, Jackson, WY 83001-0000 2005-11-22
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 38305

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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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