DR. DAVID DAMARET CHUBE (NPI# 1124024096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124024096 |
| Entity Type | Individual |
| Full Name | DR. DAVID DAMARET CHUBE |
| Credential | M.D. |
| Practice Address |
3229 Broadway Ste 111 Gary IN 46409-1040 |
| Practice Telephone | 2198874402 |
| Practice Fax Number | 2198874415 |
| Mailing Telephone | 2198874402 |
| Mailing Fax Number | 2198874415 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 173000000X | Legal Medicine | 01038347 | IN | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | DEA | BC2501826 | 01 |
| IN | LICENSE NUMBER | 01038347 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669555991 | David D Chube Sr. | Family Medicine | 1701 Broadway, Gary, IN 46407 | 2006-10-23 |
| Street Address |
3229 BROADWAY STE 111 |
| City | GARY |
| State | IN |
| Zip Code | 46409-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063417657 | Raied Abdullah | Internal Medicine | 3229 Broadway, Suite 205, Gary, IN 46409-1036 | 2005-06-20 |
| 1184001851 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 3229 Broadway, 112, Gary, IN 46409-1036 | 2015-05-01 |
| 1598922510 | Cardiovascular Clinics PC | Internal Medicine | 3229 Broadway, Gary, IN 46409-1036 | 2008-05-19 |
| 1548310873 | Ellan L Hood | Clinical Nurse Specialist | 3229 Broadway, Suite 205, Gary, IN 46409-1036 | 2007-01-11 |
| 1407946296 | Grace Garcia | Physical Therapist | 3229 Broadway, Gary, IN 46409-1036 | 2006-10-13 |
| 1912907288 | George D Smalls | Urology | 3229 Broadway, Suite 153, Gary, IN 46409-1036 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316027998 | Nhi Home Base Service Corp. | Clinic/Center | 4795 Broadway, Gary, IN 46409 | 2006-10-17 |
| 1164891404 | Megan Burgess | Counselor | 4795 Broadway, Gary, IN 46409 | 2015-09-16 |
| 1366677213 | Merideth Krashonda Owens | Counselor | 4795 Broadway, Gary, IN 46409 | 2009-05-21 |
| 1548530439 | Sibis Counseling Center LLC | Counselor | 3195 Broadway Lowr Level, Gary, IN 46409-1006 | 2012-01-09 |
| 1750303343 | Adolphus A Anekwe | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2006-07-24 |
| 1215219084 | Broadway Dental Services | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2011-09-16 |
| 1528392156 | Tonya A. Harvey | Nurse Practitioner | 3195 Broadway, Gary, IN 46409-1006 | 2009-09-29 |
| 1629196761 | Broadway Medical Corporation, PC | Specialist | 3195 Broadway, Gary, IN 46409-1006 | 2007-03-27 |
| 1023166758 | Frank Edward Pate | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2007-01-08 |
| 1528173853 | Edwin Kenneth Mcdonald IIi | Dentist | 3195 Broadway, Gary, IN 46409-1006 | 2006-08-19 |
| Find all providers in zip 46409 | ||||
| Taxonomy Code | 173000000X |
| Grouping | Other Service Providers |
| Classification | Legal Medicine |
| The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114228723 | Nwi Patient Care LLC. | Legal Medicine | 544 S Lake St, Gary, IN 46403-2473 | 2010-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083806376 | Seymour Gastroenterology Consultants, LLC | Legal Medicine | 225 S Pine St Ste 311, Seymour, IN 47274-2367 | 2007-08-10 |
| 1760688451 | Lorenzo Eli | Legal Medicine | 1000 Van Nuys Road, New Castle, IN 47362 | 2007-06-21 |
| 1194815449 | George Robert Small | Legal Medicine | 284 N Madison Ave, Greenwood, IN 46142-3634 | 2006-10-14 |
| 1245329036 | Stephen L Myers | Legal Medicine | Lilly Research Laboratories, Lilly Corporate Center, Indianapolis, IN 46285-0001 | 2006-10-12 |
| 1861589855 | Young M Kim | Legal Medicine | 4035 Elm St, East Chicago, IN 46312-3042 | 2006-10-09 |
| 1336152271 | Aesop, Inc. | Legal Medicine | 4084 Pendleton Way, # 264, Indianapolis, IN 46226-5224 | 2006-08-14 |
| 1285663435 | Edward Long Jr Md | Legal Medicine | 24068 Professional Park Dr, Lawrenceburg, IN 47025-7600 | 2006-07-01 |
| 1184699068 | Karl W Siebe | Legal Medicine | 865 Westfield Rd, Noblesville, IN 46062-8901 | 2006-02-22 |
| 1700859089 | Freya G Paje | Legal Medicine | 1011 E National Ave, Brazil, IN 47834-2713 | 2006-02-08 |
| 1548260714 | Gregory A Quin | Legal Medicine | 302 N Duke Street, Peru, IN 46970-1520 | 2005-07-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.