John Ryan McCubbin, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

658202 Issued in TX

Practice address

140 Timber Falls Dr
Longview, TX 75605-8277

Phone

(903) 297-8640

NPI assigned

Jul 5, 2006

Last updated

Jan 28, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northstar Anesthesia III PAGroup PAC ID 0042630501, 393 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Longview Regional Medical Center Hospital, Longview, TX, CCN 450702

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northstar Anesthesia III PA

  • Anesthesiology Physician
  • Corpus Christi, TX
  • NPI 1356968952

  Nurse Anesthetist, Certified Registered

  Medicare reassignment Care Compare group NPD
• Christus Good Shepherd Medical Center

  • Anesthesiology Physician
  • Marshall, TX
  • NPI 1760908404

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Certified Registered Nurse Anesthetist
  • Longview, TX
  • NPI 1508824038

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Texas Ams PLLC

  • Anesthesiology Physician
  • Pensacola, FL
  • NPI 1174926125

  Nurse Anesthetist, Certified Registered, TX

  Medicare reassignment NPD
• Christus Good Shepherd Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1124092036
  NPD
• Longview Medical Center LP

  dba Longview Regional Medical Center

  • Rehabilitation Hospital Unit
  • Longview, TX
  • NPI 1699733097
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Longview Medical Center LP

  dba Longview Regional Medical Center

  • General Acute Care Hospital
  • Longview, TX
  • NPI 1528026267
  Care Compare affiliation

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233100800000",
    "number": "1134150600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 TIMBER FALLS DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 TIMBER FALLS DR",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756058277",
            "telephone_number": "903-297-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUBBIN",
        "first_name": "JOHN",
        "middle_name": "RYAN",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "658202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164937801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cody Lance McCoy, AGACNP
• Billy Richard McCracken, C.R.N.A.
• McCrae Management and Investments, LTD. (NewSound Hearing Aid Centers)
• Kevin Waye McCrary, M.D.
• Kathleen A McCrory, DO
• Steven Glenn McCullough, C.O.L.O.
• Elaine Marie McDaniel, PTA
• Erika Monique McDaniel, FNP
• Nicholas McDaniel, RBT
• Brittany Ashton McDaniels, FNP-C

• Certified Registered Nurse Anesthetist in Longview, TX
• Providers in Longview, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.