Chube Medical Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01017944 Issued in IN

Legal business name

CHUBE MEDICAL CORPORATION

Practice address

1701 Broadway
Gary, IN 46407

Phone

(219) 882-0980

Fax

(219) 882-5065

NPI assigned

Feb 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David D Chube Sr., MD

Title

MD Owner

Phone

(219) 882-0980

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1356476287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269",
            "address_2": "1701 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46407",
            "telephone_number": "219-882-0980",
            "fax_number": "219-882-5065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 BROADWAY",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46407",
            "telephone_number": "219-882-0980",
            "fax_number": "219-882-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHUBE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "CHUBE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "219-882-0980",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01017944",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100161170",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Chase
• Marsha Chico
• Leelarani Chigurupati, RD
• Troy Childers
• Children With Greater Destinys
• David Damaret Chube, M.D.
• Chube2 Primary Care LLC
• City of Gary Fire Department, EMS
• City of Gary Indiana
• Clark Nursing and Rehabilitation Center, LLC

• Family Medicine Physician in Gary, IN
• Providers in Gary, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.