Donald G Kube Jr., DO
Individual provider Active NPI Anesthesiology Physician · Iron MTN, MI
NPI 1477597185 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477597185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 5101011028 (MI)
- Practice address
- 1721 S Stephenson Ave
Iron MTN, MI 49801-3637 - Phone
- (906) 776-5457
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Michigan Anesthesia | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 5101011028 | MI | Yes |
Addresses
Primary practice location
1721 S Stephenson Ave
Iron MTN, MI 49801-3637
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440
Other providers in Iron MTN, MI
All providers in Iron MTN, MI · Anesthesiology Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.