Gary Cubbage, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

119310 Issued in VA

Practice address

334 Singleton Cir
Warrenton, VA 20186-4320

Phone

(540) 229-5610

NPI assigned

Oct 27, 2015

Last updated

Oct 27, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1445904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445904000000",
    "number": "1740652957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SINGLETON CIR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201864320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SINGLETON CIR",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201864320",
            "telephone_number": "540-229-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUBBAGE",
        "first_name": "GARY",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-27",
        "last_updated": "2015-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "VA",
            "license": "119310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Elizabeth Crider, FNP-C
• Amy Crisp, R.D.
• Melissa A. Griffith Crooks
• Alessa Sook Crossan, M.D.
• Allison Grace Croushorn, AUD
• Sergio Ivan Cueto, LMFT
• Nicole E Cuga, OTR
• Lauren Page Curtis, LPC
• Craig S. Dacales, O.D.
• Rachel F Dahlin, OTR/L

• Surgical Assistant in Warrenton, VA
• Providers in Warrenton, VA by specialty
• Surgical Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.