Michael B Stubbs MD PC

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

022652 Issued in GA

Legal business name

MICHAEL B STUBBS MD PC

Practice address

465 Winn Way
Suite 211
Decatur, GA 30030-1753

Phone

(404) 292-4348

Fax

(404) 501-0660

NPI assigned

Dec 23, 2009

Organization subpart

Yes

Parent organization

MICHAEL B STUBBS MD PCAs reported in NPPES

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

Authorized official

Name

Dr. Michael B Stubbs, M.D.

Title

President

Phone

(404) 292-4348

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Michael B Stubbs MD PC

Locations

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292457600000",
    "number": "1164751012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WINN WAY",
            "address_2": "SUITE 211",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "404-292-4348",
            "fax_number": "404-501-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WINN WAY",
            "address_2": "SUITE 211",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301753",
            "telephone_number": "404-292-4348",
            "fax_number": "404-501-0660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL B STUBBS MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL B STUBBS MD PC",
        "enumeration_date": "2009-12-23",
        "last_updated": "2010-12-16",
        "status": "A",
        "authorized_official_last_name": "STUBBS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-292-4348",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "022652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000222252A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Decatur, GA
• Providers in Decatur, GA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.