Douglas C Kubek (NPI# 1003903832, PAC ID# 9931278579) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OTOLARYNGOLOGY.
| Nation Provider ID (NPI) | 1003903832 |
| PAC ID by PECOS | 9931278579 |
| Professional Enrollment ID | I20080521000862 |
| Full Name | Douglas C Kubek |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Address |
21000 E 12 Mile Rd Suite 111 Saint Clair Shores MI 48081-1156 |
| Phone Number | 5867797610 |
| Gender | M |
| Medical School | CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1995 |
| Primary Specialty | OTOLARYNGOLOGY |
| Secondary Specialties | PLASTIC AND RECONSTRUCTIVE SURGERY |
| Group Practice PAC ID | 3173424082 |
| Number of Group Practice Members | 297 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| 230227 | MCLAREN MACOMB |
| 230047 | HENRY FORD MACOMB HOSPITAL |
| 230195 | ST JOHN MACOMB-OAKLAND HOSPITAL-MACOMB CENTER |
| 230089 | WILLIAM BEAUMONT HOSPITAL-GROSSE POINTE |
| Address | Phone | Organization |
|---|---|---|
| 17770 Mack Ave, Grosse Pointe, MI 48230-6233 | 3138856367 | ASCENSION ST JOHN HOSPITAL |
| 17900 23 Mile Rd, Suite 205, Macomb, MI 48044-1161 | 5862866565 | LAKESHORE EAR NOSE AND THROAT CENTER PC |
| 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 | 5867797610 | ASCENSION ST JOHN HOSPITAL |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ASCENSION ST JOHN HOSPITAL |
| Physicians | 251 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeanette E Wilson | Family Medicine | Ascension St John Hospital | 21099 Masonic Blvd, Saint Clair Shores, MI 48082-1045 |
| Holly Ouillette | Obstetrics/gynecology | Ascension St John Hospital | 22151 Moross Rd, Suite 313, Grosse Pointe, MI 48236-2197 |
| Nishan H Chobanian | Gynecological Oncology | Ascension St John Hospital | 22301 Foster Winter Dr 3rd Floor, Sjhmc V K Malviya Md, Southfield, MI 48075-3707 |
| Andrey A Volkov | Neurosurgery | Ascension St John Hospital | 22201 Moross Rd, Suite 352, Detroit, MI 48236-2176 |
| Ashish Bhargava | Infectious Disease | Ascension St John Hospital | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 |
| Julia K Tesch | Internal Medicine | Ascension St John Hospital | 17141 Kercheval Ave, Grosse Pointe, MI 48230-1660 |
| Eileen M Reickert | Family Medicine | Ascension St John Hospital | 24911 Little Mack Ave C, Saint Clair Shores, MI 48080-3200 |
| Vamshidhar D Guduguntla | Interventional Cardiology | Ascension St John Hospital | 25195 Kelly Rd, Suite A, Roseville, MI 48066-4909 |
| John W Becker | Otolaryngology | Ascension St John Hospital | 11080 Hall Rd A, Sterling Heights, MI 48314-1511 |
| Susan E Lyons | Hematology/oncology | Ascension St John Hospital | 22301 Foster Winter Dr 200, Sjhmc Newland Medical Associates, Southfield, MI 48075-3707 |
| Street Address |
21000 E 12 MILE RD SUITE 111 |
| City | SAINT CLAIR SHORES |
| State | MI |
| Zip | 48081-1156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Ronald D Hertz | Internal Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Brigitte M Ngoyi | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| John Woo Lee | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Neil Thomas Shaw | Podiatry | Anthony V Benenati Dpm PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 |
| Regina R Frost | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Jennifer Kay Appleyard | Internal Medicine | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Antonia M Jerkins | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Renee S Hoelzeman | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Joyce C Purakal | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Xavier Burgoyne | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Anthony Gerald Paniccia | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| James R Hrynik | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 21000 E 12 Mile Rd, St Clair Shores, MI 48081-1116 |
| William A Ventimiglia | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Suite 100, Saint Clair Shores, MI 48081-1156 |
| Eric W Sargent | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Majed A Rammouni | Internal Medicine | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, 105 St John Eastside, St Clair Shores, MI 48081-1156 |
| Thomas R Hartzell | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Heidi L Rohloff | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Sean Anthony Cassleman | Internal Medicine | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, 105 Lakeside Internal Medicine, St Clair Shores, MI 48081-1156 |
| Andrew M Staricco | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in zip 48081 | |||
| City | SAINT CLAIR SHORES |
| Zip Code | 48081 |
| Specialty | OTOLARYNGOLOGY |
| City + Specialty | SAINT CLAIR SHORES + OTOLARYNGOLOGY |
Please comment or provide details below to improve the information on Douglas C Kubek.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.