Joseph H. Kubicek, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

00582 Issued in CO

Practice address

1650 Cochrane Cir
Ft Carson, CO 80913-4603

Phone

(719) 526-7844

Fax

(719) 526-7132

NPI assigned

Feb 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188864000000",
    "number": "1831164425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 MIDNIGHT LN",
            "city": "FLORISSANT",
            "state": "CO",
            "postal_code": "808169269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 COCHRANE CIR",
            "city": "FT CARSON",
            "state": "CO",
            "postal_code": "809134603",
            "telephone_number": "719-526-7844",
            "fax_number": "719-526-7132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBICEK",
        "first_name": "JOSEPH",
        "middle_name": "H.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2007-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CO",
            "license": "00582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCCPA",
            "identifier": "1012292",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Knox
• Craig Koca, MD
• Nikki Angelica Kopan, PHARM.D.
• Stephanie Suzanne Kraft, DA
• Joshua Krieger, MD
• Megan Kuchenbecker
• Reed Barrett Kuehn, M.D.
• Zachary Kufahl, CRNA
• Kenneth D. Kuhn, MD
• Bryan Kujawa, MD

• Medical Physician Assistant in Ft Carson, CO
• Providers in Ft Carson, CO by specialty
• Medical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.