JACK W TUBBS


Address: 8580 Scarborough Dr, Suite 100, Colorado Springs, CO 80920-7583
Phone: 7195963344

JACK W TUBBS (NPI# 1669471538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669471538
Entity Type Individual
Full Name JACK W TUBBS
Credential M.D.
Practice Address 8580 Scarborough Dr
Suite 100
Colorado Springs
CO 80920-7583
Mailing Address 8580 Scarborough Dr Ste 100
Colorado Springs
CO 80920-7583
Practice Telephone 7195963344
Practice Fax Number 7196326118
Mailing Telephone 7195963344
Mailing Fax Number 7196326118
Enumeration Date 2005-07-21
Last Update Date 2016-10-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 173000000X Legal Medicine Other Service Providers
N 174400000X Specialist 17891 OK Other Service Providers
Y 174400000X Specialist 28714 CO Other Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
CO 01287143 05

Office Location

Street Address 8580 SCARBOROUGH DR
SUITE 100
City COLORADO SPRINGS
State CO
Zip Code 80920-7583

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710983655 Melinda Ann Richey Physician Assistant 8580 Scarborough Dr, Suite 225, Colorado Springs, CO 80920-7583 2005-06-24
1598111999 Brandon Michael Basehore Dermatology 8580 Scarborough Dr, Colorado Springs, CO 80920-7583 2016-05-04
1538581301 Briklin Nielsen Dentist 8580 Scarborough Dr, Suite 220, Colorado Springs, CO 80920-7583 2014-01-14
1780933077 Lisa Kenner Specialist/Technologist, Other 8580 Scarborough Dr, Suite 125, Colorado Springs, CO 80920-7583 2012-09-03
1548592363 Rational Dermatology, PC Dermatology 8580 Scarborough Dr, Suite 225, Colorado Springs, CO 80920-7586 2010-02-03
1528206976 Robert Corr, PC Clinic/Center 8580 Scarborough Dr, Suite 201, Colorado Springs, CO 80920-7583 2009-01-22
1144427899 James Lee Md PC Ophthalmology 8580 Scarborough Dr, Suite 125, Colorado Springs, CO 80920-7502 2007-06-27
1982702239 Samantha M Jordan Dermatology 8580 Scarborough Dr, Suite 225, Colorado Springs, CO 80920-7583 2006-09-20
1396772372 James H Lee Ophthalmology 8580 Scarborough Dr, Suite 125, Colorado Springs, CO 80920-7502 2006-06-27
1538130752 Ryan Michael Jack Dentist 8580 Scarborough Dr, #200, Colorado Springs, CO 80920-7583 2006-01-27
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1407463409 Cynthia Cruz Marriage & Family Therapist 7710 N. Union, Ste 100b and 100c, Colorado Springs, CO 80920 2020-09-24
1851905178 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-09-03
1114531431 Emergency Medical Specialists, PC Emergency Medicine Memorial Hospital North - Md, 4050 Briargate Pkway, Colorado Springs, CO 80920 2020-09-03
1205440583 Emergency Medical Specialists, PC Emergency Medicine Memorial Hospital North - App, 4050 Briargate Pkway, Colorado Springs, CO 80920 2020-09-03
1700490455 Poudre Valley Medical Group, LLC Radiology 4080 Briargate Parkway, Colorado Springs, CO 80920 2020-09-01
1962015792 Emergency Medical Specialists, PC Emergency Medicine Woodmen Fsed - App, 3790 E. Woodmen Road, Colorado Springs, CO 80920 2020-08-31
1194296491 Kramer Dentistry Inc Clinic/Center 9290 Highland Ridge Heights Suite # 120, Colorado Springs, CO 80920 2018-12-12
1134602279 Juliana Plucinik Assistant Behavior Analyst 7011 Campus Drive Suite 205, Colorado Springs, CO 80920 2018-09-14
1811473861 Vsb Colorado Providers Pllc Dentist 1750 Telstar Drive, Suite 200, Colorado Springs, CO 80920 2018-07-12
1336637438 Children's Hospital Colorado General Acute Care Hospital 4090 Briargate Parkway, Colorado Springs, CO 80920 2018-04-25
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356942171 Colorado Otolaryngology Associates, LLC Specialist 6031 E. Woodmen Rd., Ste. 300, Colorado Springs, CO 80923 2020-11-06
1669079075 Colorado Otolaryngology Associates, LLC Specialist 6071 E Woodmen Rd Ste 325, Colorado Springs, CO 80923-2612 2020-10-08
1205459633 Associates In Gastroenterology, P.C. Specialist 6011 E Woodmen Rd Ste 345, Colorado Springs, CO 80923-2606 2020-05-20
1154973451 Jimson Franck Specialist 4330 Hunting Meadows Cir, Colorado Springs, CO 80916-2460 2019-07-16
1477083954 Elizabeth Mary Edling Specialist 8321 Steadman Dr, Colorado Springs, CO 80920-7058 2017-06-15
1306385026 Kirsten Arbogast Specialist 2017 E Van Buren St, Colorado Springs, CO 80909-7828 2017-02-14
1538602750 Shelby Thomas Specialist 6225 Emma Ln, Colorado Springs, CO 80922-1825 2016-11-19
1174073431 Danella Ann Lynn Specialist 6140 Tutt Blvd Ste 120, Colorado Springs, CO 80923-3574 2016-10-11
1821449851 Deana Schlepp Specialist 6219 Gemfield Dr, Colorado Springs, CO 80918-6107 2016-06-30
1639539612 Andrew Bonner Specialist 102 S Tejon St Ste 1100, Colorado Springs, CO 80903 2016-03-03
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Competitor

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City COLORADO SPRINGS
Zip Code 80920

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Dataset Information

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.

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