Stephanie Alexandra Kubacak (NPI# 1821086729, PAC ID# 0143299743) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1821086729 |
| PAC ID by PECOS | 0143299743 |
| Professional Enrollment ID | I20040930000250 |
| Full Name | Stephanie Alexandra Kubacak |
| Organization Legal Name | MCH PROFESSIONAL CARE |
| Address |
8050 E Hwy 191 Suite 200 Odessa TX 79765-8607 |
| Phone Number | 4323375411 |
| Gender | F |
| Credential | MD |
| Medical School | TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1658358635 |
| Number of Group Practice Members | 44 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450132 | MEDICAL CENTER HOSPITAL |
| 450661 | ODESSA REGIONAL MEDICAL CENTER |
| 450133 | MIDLAND MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 | 4323375411 | MCH PROFESSIONAL CARE |
| Organization Legal Name | MCH PROFESSIONAL CARE |
| Physicians | 49 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kayla Notley | Nurse Practitioner | Mch Professional Care | 519 N Lincoln Ave, Odessa, TX 79761-4429 |
| Annalee A Mora | Nurse Practitioner | Mch Professional Care | 4210 John Ben Shepperd Pkwy, Odessa, TX 79762-8153 |
| Nancy P Bueno | Nurse Practitioner | Mch Professional Care | 2450 W Loop, Suite 338, Odessa, TX 79763-3201 |
| Sudhir Amaram | Cardiovascular Disease (cardiology) | Mch Professional Care | 720 Golder Ave, Odessa, TX 79761-4442 |
| Bonnie C Carter | Family Medicine | Mch Professional Care | 3001 Jbs Pkwy, Odessa, TX 79762-8126 |
| Manohar Angirekula | Cardiovascular Disease (cardiology) | Mch Professional Care | 1601 N Turner St, Suite 320, Hobbs, NM 88240-4310 |
| Sara Gray | Qualified Audiologist | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Jorge G. Alamo | Family Medicine | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Sam Eun Kim | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Eduardo Salcedo | Family Medicine | Mch Professional Care | 500 W 4th St, Odessa, TX 79761-5001 |
| Street Address |
8050 E HWY 191 SUITE 200 |
| City | ODESSA |
| State | TX |
| Zip | 79765-8607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Emily Gully | Nurse Practitioner | West Texas Neurosurgery Pa | 8050 E Hwy 191, Suite 212, Odessa, TX 79765-8615 |
| Alim Mirza Ladha | Neurosurgery | 8050 E Hwy 191, Suite 203, Odessa, TX 79765-8615 | |
| Sam Eun Kim | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Cynthia Jean Wall | Psychologist, Clinical | 8050 E Hwy 191, Suite 206, Odessa, TX 79765-8615 | |
| John K Dorman | Neurosurgery | West Texas Neurosurgery Pa | 8050 E Hwy 191, Suite 212, Odessa, TX 79765-8615 |
| David Davison | Family Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Santiago Giraldo | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Getnet Aberra | Family Medicine | Mch Professional Care | 8050 E Hwy 191, Suite 200, Odessa, TX 79765-8607 |
| Ramnauth Robert Ramkissoon | Physician Assistant | Ector County Hospital District | 8050 E Hwy 191, Suite 103, Odessa, TX 79765-8614 |
| Augusto Sepulveda | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Odessa, TX 79765-8607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Paradeaux | Nurse Practitioner | Permian Premier Health Services Inc | 980 E 87th St D, Steward Medical Group of Texas, Odessa, TX 79765-1318 |
| Robert L Chappell Jr. | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Ritchie Rosso | Dermatology | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Nathan A Rosso | Physician Assistant | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Jason R Dominguez | Physician Assistant | Chappell Rosso Dermatology Pa | 4040 Medical Park Dr, Odessa, TX 79765-2233 |
| Kris L Howard | Dermatology | Kris L Howard Md Pa | 8141 Dorado Dr, Odessa, TX 79765-8533 |
| Nicole Leann Connelly | Physician Assistant | Kris L Howard Md Pa | 8141 Dorado Dr, Odessa, TX 79765-8533 |
| Daniel Ohearn | Internal Medicine | Mch Professional Care | 8050 E Hwy 191, Odessa, TX 79765-8607 |
| Carl D Brown | Neurology | 8050 E Hwy 191 205, Odessa, TX 79765-8615 | |
| John G Jones | Psychologist, Clinical | Deer Oaks Geriatric Services P C | 111 Parks Village Dr, Odessa, TX 79765-8905 |
| Find all physicians in zip 79765 | |||
| City | ODESSA |
| Zip Code | 79765 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ODESSA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Stephanie Alexandra Kubacak.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.