DR. MICHAEL JEREMY JUBANG (NPI# 1457542631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457542631 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JEREMY JUBANG |
| Credential | MD |
| Practice Address |
100 N. Academy Ave Danville PA 17822-0462 |
| Mailing Address |
23 3rd St Danville PA 17821-1156 |
| Practice Telephone | 5702716301 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2010-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
BP1-0028963 | TX | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MD441379 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MYUTMB 4651659625 | 4651659625 | 01 |
| Street Address |
100 N. ACADEMY AVE |
| City | DANVILLE |
| State | PA |
| Zip Code | 17822-0462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598376709 | Kelley Chilson | Psychologist | 100 N. Academy Ave, Geisinger Medical Center Department of Psychiatry, Danville, PA 17822-1335 | 2020-08-11 |
| 1760031694 | Katherine Emily Kelley | Clinical Neuropsychologist | 100 N. Academy Ave, Department of Psychiatry, Geisinger Medical Center, Danville, PA 17822 | 2019-09-04 |
| 1396390357 | Kathryn Harple | Psychologist | 100 N. Academy Ave, Gmc Department of Psychiatry, Danville, PA 17822 | 2019-08-07 |
| 1467947358 | Hilary Balum Hayhurst | Clinical Neuropsychologist | 100 N. Academy Ave, Department of Psychiatry, Danville, PA 17822-1335 | 2018-06-25 |
| 1730605445 | Angela Jeffreys | Dietitian, Registered | 100 N. Academy Ave, Mc 15-09, Danville, PA 17822 | 2017-08-15 |
| 1760906564 | Karen Wiesen | Dietitian, Registered | 100 N. Academy Ave, Mc: 15-09, Danville, PA 17822-9800 | 2017-08-02 |
| 1083903652 | Lauren Greene | Internal Medicine | 100 N. Academy Ave, Hospital Medicine 20-19, Danville, PA 17822 | 2011-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366062895 | Staci Lee Benoit | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue Geisinger Medical Center, Danville, PA 17822 | 2020-04-24 |
| 1275162018 | Kristena Yossef | Student in an Organized Health Care Education/Training Program | Geisinger Medical Center, 100 North Academy Avenue, Da, Danville, PA 17822 | 2020-04-03 |
| 1003470444 | Intekhab Askari Syed Ahmad Raza | Student in an Organized Health Care Education/Training Program | 100 North Academy Avenue, Geisinger Medical Center, Danville, PA 17822 | 2019-04-30 |
| 1841766334 | Sarah Louise Dearment | Counselor | Geisinger Medical Center: Department of Psychiatry, 100 N. Academy Avenue, Danville, PA 17822 | 2018-10-23 |
| 1548753908 | Josie Pervola | Genetic Counselor, MS | 100 N Academy Ave Mc-26-20, Danville, PA 17822 | 2018-06-11 |
| 1477059350 | Martha Niemiec | Counselor | Geisinger Medical Center Department of Psychiatry, 100 North Academy Avenue, Danville, PA 17822 | 2018-04-01 |
| 1730625450 | Nir Shimony | Neurological Surgery | 100 N. Academy Ave., Geisinger Medical Center, Neurosurgery Department, Danville, PA 17822 | 2017-01-19 |
| 1164877197 | Britta Hunter | Speech-Language Pathologist | 100 N. Academy Ave., Danville, PA 17822 | 2016-04-27 |
| 1891180725 | Zach Rottmann | Internal Medicine | Geisinger Medical Center, 100 North Academy Avenue, Danville, PA 17822 | 2015-03-30 |
| 1891063251 | John D Chakan | Pharmacist | 1000 S Second St, Sunbury, PA 17822 | 2011-12-13 |
| Find all providers in zip 17822 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114245990 | John Cho | Radiology | 105 Ridgeview, Danville, PA 17821-8435 | 2010-05-04 |
| 1902049513 | Central Kentucky Radiology | Radiology | 124 Daniel Dr, Danville, KY 40422-2527 | 2009-04-13 |
| 1831119254 | Richard Keith Hollis | Radiology | 692 Rocky Knoll Ln, Danville, VA 24541-8932 | 2006-07-20 |
| 1255356820 | United Radiology Service | Radiology | 812 North Logan Avenue, Danville, IL 61832 | 2006-07-13 |
| 1548226186 | Laurence John Soges | Radiology | Geisinger Medical Center, Dept Radiology, 100 N Academy Ave, Danville, PA 17822-0001 | 2006-04-22 |
| 1528038692 | Henry Huson II | Radiology | 288 W Main St, Danville, VA 24541-2848 | 2006-01-23 |
| 1538149448 | Douglas R May | Radiology | 142 S Main St, Danville, VA 24541-2922 | 2006-01-18 |
| 1205446390 | Dm Radiology LLC | Radiology | 304 Virginia Ave, Danville, VA 24541-3730 | 2020-08-04 |
| 1578983557 | Thomas Nevers | Radiology | 100 N Academy Ave, Danville, PA 17822-3628 | 2014-04-17 |
| 1932548567 | Joshua Nicholas Pitzen | Radiology | 100 N Academy Ave, Danville, PA 17822-0001 | 2013-06-17 |
| Find all providers in DANVILLE | ||||
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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.