Richard T Kubota (NPI# 1437228053, PAC ID# 9234148271) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1437228053 |
| PAC ID by PECOS | 9234148271 |
| Professional Enrollment ID | I20080522000598 |
| Full Name | Richard T Kubota |
| Organization Legal Name | BLUE RIDGE RADIOLOGY, P.C. |
| Address |
1 Medical Park Blvd Bristol TN 37620-7430 |
| Phone Number | 4238442200 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF CHICAGO, PRITZKER SCHOOL OF MEDICINE |
| Graduation Year | 1982 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 7416860473 |
| Number of Group Practice Members | 25 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440017 | WELLMONT HOLSTON VALLEY MEDICAL CENTER |
| 440012 | WELLMONT BRISTOL REGIONAL MEDICAL CENTER |
| 440176 | INDIAN PATH MEDICAL CENTER |
| 490127 | BUCHANAN GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Park Blvd, Bristol, TN 37620-7430 | 4238442200 | BLUE RIDGE RADIOLOGY, P.C. |
| 103 W Stone Dr, Kingsport, TN 37660-3220 | 4232446800 | BLUE RIDGE RADIOLOGY, P.C. |
| Organization Legal Name | BLUE RIDGE RADIOLOGY, P.C. |
| Physicians | 28 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul D Ellis | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 103 W Stone Dr, Kingsport, TN 37660-3220 |
| John E Hutchison Jr. | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Philip Joel Benfield | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Gert J Van Der Westhuizen | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Robert Thurman | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Mitchell J Mendrek | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Jonathan Vinh Quang Mai | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Andrew Spillett | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Terry M Fletcher | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| John R Siner | Diagnostic Radiology | Blue Ridge Radiology, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Street Address |
1 MEDICAL PARK BLVD |
| City | BRISTOL |
| State | TN |
| Zip | 37620-7430 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cassondra Nichole Compton | Certified Registered Nurse Anesthetist (crna) | Wps Providers Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| David R Hudgens | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Joe M Rupe | Internal Medicine | Wellmont Medical Associates Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Hevti Joshi | Internal Medicine | Wellmont Medical Associates Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Walter Davis Arnold Jr. | Internal Medicine | Southeastern Physician Services PC | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Michael Wayne Rentz | Pathology | Highlands Pathology Consultants, P.C. | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Jonathan T Clark | Orthopedic Surgery | Appalachian Orthopaedic Associates PC | 1 Medical Park Blvd, 300e, Bristol, TN 37620-7497 |
| Joanne Viers | Nurse Practitioner | Wellmont Cardiology Services | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Roger J Mcsharry | Pulmonary Disease | Wellmont Medical Associates Inc | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Barbara Jo Smith | Nurse Practitioner | Wellmont Cardiology Services | 1 Medical Park Blvd, Bristol, TN 37620-7430 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Scott Fowler | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Tara D Spurling | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Stacie L Mccray | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Cynthia L Mcglothlin | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Nyela Aldridge Edwards | Certified Nurse Midwife (cnm) | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey A Mcqueary | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Autumn R Hoover | Nurse Practitioner | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Alyssa Nicole Phelps | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Jeffrey R Looney | Obstetrics/gynecology | Holston Medical Group PC | 320 Bristol W Blvd, Suite 2c, Bristol, TN 37620 |
| Lynn H Couch | Certified Registered Nurse Anesthetist (crna) | Innovative Surgical Solutions, Pllc | 3185 W State St, Suite 2020, Bristol, TN 37620-1600 |
| Find all physicians in zip 37620 | |||
| City | BRISTOL |
| Zip Code | 37620 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | BRISTOL + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Richard T Kubota.
| 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.