Douglas Kubek, DO PC

Primary specialty

Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X

License

DK012806 Issued in MI

Legal business name

DOUGLAS KUBEK, DO PC

Practice address

27301 Schoenherr Rd
Suite 105
Warren, MI 48088-6649

Phone

(586) 751-6034

Fax

(586) 751-6043

NPI assigned

Nov 19, 2007

Last updated

Nov 19, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Douglas Kubek, DO

Title

President

Phone

(586) 751-6034

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1992986921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 SCHOENHERR RD",
            "address_2": "SUITE 105",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886649",
            "telephone_number": "586-751-6034",
            "fax_number": "586-751-6043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 SCHOENHERR RD",
            "address_2": "SUITE 105",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480886649",
            "telephone_number": "586-751-6034",
            "fax_number": "586-751-6043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS KUBEK, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "KUBEK",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "586-751-6034",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "MI",
            "license": "DK012806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Doppelt, ACNP-BC
• Tiana Lachea Doss, CPR FIRST AID
• Trace Dotson, DO
• Karri A Dotstry, RN, CNLCP, LNC, CCM
• Oleg Doubrovski, DDS
• Stacy Elizabeth Dowding
• Downriver Podiatrists, P.C.
• Sharon Geralyn Doxen, APN
• Kidary Dozier
• Latoia Dozier

• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Warren, MI
• Providers in Warren, MI by specialty
• Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.