Active NPI
Martin Kubeja MD PLLC
- Anesthesiology Physician
- Tacoma, WA
National Provider Identifier
1689985400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD00038533
- Legal business name
- MARTIN KUBEJA MD PLLC
- Practice address
- 1901 S Union Ave
Tacoma, WA 98405-1702 - Phone
- (253) 459-6611
- NPI assigned
- Jun 25, 2010
- Last updated
- Jun 25, 2010
- 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
- Dr. Martin Kubeja, MD
- Title
- Provider/Owner
- Phone
- (253) 588-7911
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD00038533 | WA | Primary |
Addresses
Primary practice location
1901 S Union Ave
Tacoma, WA 98405-1702
Mailing address
PO Box 97115
Lakewood, WA 98497-0115
Phone (253) 588-7911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD00038533 | Other | WA | PROFESSIONAL LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Anesthesiology Physician
- Tacoma, WA
- NPI 1821195140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277424000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1277424000000",
"number": "1689985400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 97115",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984970115",
"telephone_number": "253-588-7911",
"fax_number": "253-984-6774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S UNION AVE",
"city": "TACOMA",
"state": "WA",
"postal_code": "984051702",
"telephone_number": "253-459-6611"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARTIN KUBEJA MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-06-25",
"last_updated": "2010-06-25",
"status": "A",
"authorized_official_last_name": "KUBEJA",
"authorized_official_first_name": "MARTIN",
"authorized_official_title_or_position": "PROVIDER/OWNER",
"authorized_official_telephone_number": "253-588-7911",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD00038533",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROFESSIONAL LICENSE",
"identifier": "MD00038533",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 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.