George Kubac MD PC

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

MD20381 Issued in OR

Legal business name

GEORGE KUBAC MD PC

Practice address

2614 Clover St
Klamath Falls, OR 97601-1132

Phone

(541) 884-6233

Fax

(541) 880-2840

NPI assigned

Dec 20, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

George Kubac, M.D.NPI 1114081700

Title

Owner

Phone

(541) 884-6233

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Kubac, M.D.

  • Interventional Cardiology Physician
  • Klamath Falls, OR
  • NPI 1114081700
  NPD Authorized official
• Sharon K Heaton, F.N.P.

  • Nurse Practitioner
  • Klamath Falls, OR
  • NPI 1033273255
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262649600000",
    "number": "1043374648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5109",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976010119",
            "telephone_number": "541-882-1540",
            "fax_number": "541-882-2583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2614 CLOVER ST",
            "city": "KLAMATH FALLS",
            "state": "OR",
            "postal_code": "976011132",
            "telephone_number": "541-884-6233",
            "fax_number": "541-880-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE KUBAC MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2010-01-05",
        "status": "A",
        "authorized_official_last_name": "KUBAC",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-884-6233",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OR",
            "license": "MD20381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CH2248",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288168",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jami Pualani Gay
• Sandi Geer, M.ED.
• Melissa N Geise
• Genoa Healthcare LLC
• Sheena Michelle Gentry
• Michelle George, PA
• John Francis Gerdes
• Nai-Zenyazeth Gerdes
• Keith C Gibson
• Tonya Lashane Ann Gidcumb

• Interventional Cardiology Physician in Klamath Falls, OR
• Providers in Klamath Falls, OR by specialty
• Interventional Cardiology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.