Active NPI
Richard T Kubiniec MD PS
- Obstetrics & Gynecology Physician
- Vancouver, WA
National Provider Identifier
1336318088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD00034433
- Legal business name
- RICHARD T KUBINIEC MD PS
- Practice address
- 11801 NE 65TH St
#A
Vancouver, WA 98662-5552 - Phone
- (360) 892-0208
- Fax
- (360) 892-9081
- NPI assigned
- Feb 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard T Kubiniec, MD
- Title
- President/Owner
- Phone
- (360) 892-0208
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | MD00034433 | WA | Primary |
Addresses
Primary practice location
11801 NE 65TH St
#A
Vancouver, WA 98662-5552
Mailing address
PO Box 820523
Vancouver, WA 98682-0011
Phone (360) 892-0208
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1118116 | Medicaid | WA | |
| 227404 | Medicaid | OR |
National Provider Directory
National Provider DirectoryLocations
11801 NE 65th St
#A
Vancouver, WA 98662
Phone (360) 892-0208
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Corvallis, OR
- NPI 1023225885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204588800000",
"number": "1336318088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 820523",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986820011",
"telephone_number": "360-892-0208",
"fax_number": "360-892-9081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11801 NE 65TH ST",
"address_2": "#A",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986625552",
"telephone_number": "360-892-0208",
"fax_number": "360-892-9081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD T KUBINIEC MD PS",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-27",
"last_updated": "2008-03-04",
"status": "A",
"authorized_official_last_name": "KUBINIEC",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "360-892-0208",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "WA",
"license": "MD00034433",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1118116",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227404",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.