JOHN BUBB (NPI# 1215331327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215331327 |
| Entity Type | Individual |
| Full Name | JOHN BUBB |
| Practice Address |
68 Harris Bushville Rd Monticello NY 12701-3027 |
| Mailing Address |
100 Route 59 Suite 105 Suffern NY 10901-4927 |
| Practice Telephone | 8457943300 |
| Practice Fax Number | 8453575777 |
| Mailing Telephone | 8453575775 |
| Mailing Fax Number | 8453575777 |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2014-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | 26NR16012600 | NJ | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 654959 | PA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 692806 | NY | Nursing Service Providers |
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 692806 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
68 HARRIS BUSHVILLE RD |
| City | MONTICELLO |
| State | NY |
| Zip Code | 12701-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750370052 | Wing Chau | Pathology | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2005-10-19 |
| 1871015586 | Adrianna Lovric | Nurse Practitioner | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2017-07-13 |
| 1902128424 | Danielle Marie Halloran | Registered Nurse | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2010-02-25 |
| 1528203528 | Cathleen Ann Patane | Nurse Practitioner | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2008-12-05 |
| 1689872012 | Brij Mohan | Surgery | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2007-07-06 |
| 1093802753 | Khin M Myo | Psychiatry & Neurology | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2006-10-06 |
| 1720039563 | Catskill Regional Medical Center | Pathology | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2006-05-15 |
| 1548247596 | Khin Soe | Psychiatry & Neurology | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2005-12-29 |
| 1972586063 | Joseph Vincent Napolitano | Pathology | 68 Harris Bushville Rd, Monticello, NY 12701-3027 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346854023 | Julia Lynn Waldorf | Student in an Organized Health Care Education/Training Program | 141 Benmosche Road, Monticello, NY 12701 | 2020-09-01 |
| 1205450483 | Deanna Marie Prue | Speech-Language Pathologist | 141 Benmosche Rd, Monticello, NY 12701 | 2020-06-03 |
| 1114552262 | Lauren Madsen | Physical Therapist | 139 Benmosche Rd, Monticello, NY 12701 | 2020-03-10 |
| 1427696061 | Elderberry Icf | Intermediate Care Facility, Mentally Retarded | 15 Poem Place, Monticello, NY 12701 | 2019-12-13 |
| 1407301922 | Nicole M Casamassima | Speech-Language Pathologist | 640 Old Route 17, 641 Old Route 17, Monticello, NY 12701 | 2016-08-25 |
| 1144680018 | Deborah Jackson | Counselor | 17 Hamilton Avenue, Monticello, NY 12701 | 2016-03-04 |
| 1215354592 | Abdelhalim Zaghloul Nada | Physical Therapist | 427 Boardway, Suite #3, Mountain Physical Therapy, Monticello, NY 12701 | 2014-03-25 |
| 1720402795 | Christine Pham | Podiatrist | 427 Broadway Ste 2, Monticello, NY 12701 | 2014-02-12 |
| 1396095139 | Raquel Bottaro | Specialist | 504 South Woods Rd, Monticello, NY 12701 | 2012-09-19 |
| 1558620310 | Maria L Burns | Registered Nurse | 20 Crystal St, Monticello, NY 12701 | 2012-05-14 |
| Find all providers in zip 12701 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063486652 | Joe A Wright Monticello Anesthesia Service | Nurse Anesthetist, Certified Registered | 778 Scogin Drive, Monticello, AR 71655-5729 | 2006-02-13 |
| 1245221266 | Gary Morris Hanson | Nurse Anesthetist, Certified Registered | 291 102nd St Ne, Monticello, MN 55362-3202 | 2005-10-31 |
| 1457708562 | Daniel C Mower | Nurse Anesthetist, Certified Registered | 380 W. 100 N., Monticello, UT 84535-0308 | 2016-05-18 |
| 1982046132 | Centracare Health Monticello Services LLC | Nurse Anesthetist, Certified Registered | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2013-07-29 |
| 1184972663 | Drew Memorial Hospital, Inc. | Nurse Anesthetist, Certified Registered | 778 Scogin Dr, Monticello, AR 71655-5729 | 2012-08-15 |
| 1508130394 | Chad Welle Anesthesia, Inc. | Nurse Anesthetist, Certified Registered | 1013 Hart Blvd, Monticello, MN 55362-8575 | 2012-02-27 |
| 1548495765 | Edward L Weeks II | Nurse Anesthetist, Certified Registered | 778 Scogin Dr, Monticello, AR 71655-5729 | 2009-05-18 |
| 1811101975 | Leanne P Behny | Nurse Anesthetist, Certified Registered | 720 S 6th St, Monticello, IN 47960-8182 | 2007-05-09 |
| 1366499238 | Charles M Kirksey | Nurse Anesthetist, Certified Registered | 166 Hospital St, Monticello, KY 42633-2416 | 2006-05-27 |
| 1124074430 | Drew County Memorial Hospital | Nurse Anesthetist, Certified Registered | 778 Scogin Drive, Monticello, AR 71655-5729 | 2006-05-26 |
| Find all providers in MONTICELLO | ||||
| City | MONTICELLO |
| Zip Code | 12701 |
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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.