Individual provider Active NPI

Linde McCubbin, PA-C

  • Physician Assistant
  • Rochester Hills, MI
National Provider Identifier
1346556339
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5601005815 Issued in MI
Practice address
215 E Auburn Rd
Rochester Hills, MI 48307-5260
Phone
(248) 853-2009
Fax
(248) 853-4105
NPI assigned
Aug 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5601005815 MI Primary

Addresses

Primary practice location

215 E Auburn Rd
Rochester Hills, MI 48307-5260

Mailing address

215 E Auburn Rd
Rochester Hills, MI 48307-5260
Phone (248) 853-2009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5601005815MIMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1346556339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 E AUBURN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075260",
            "telephone_number": "248-853-2009",
            "fax_number": "248-853-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 E AUBURN RD",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483075260",
            "telephone_number": "248-853-2009",
            "fax_number": "248-853-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUBBIN",
        "first_name": "LINDE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601005815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.