MEDICARE: PERRY B KUBEK D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	OS010636L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	71741 S1QC	OTHER	PA	GEISINGER HEALTH PLAN
2	561080	OTHER	PA	HIGHMARK BLUE SHIELD
3	1130425	OTHER	PA	AETNA HMO
4	7291120	OTHER	PA	AETNA NON-HMO
5	H14465	OTHER	PA	HEALTH ASSURANCE
6	P002562	OTHER	PA	GATEWAY HEALTH PLAN
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	50014740	OTHER	PA	CAPITAL BLUE CROSS

General Provider Information

NPI Number	:	1669468583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PERRY B KUBEK D.O.

Provider Business Mailing Address
First Line	:	5665 MAIN ST
Second Line	:
City	:	EAST PETERSBURG
State	:	PA
Zip	:	17520-1513
Country	:	US
Telephone Number	:	717-569-7011
Fax Number	:	717-569-8694

Provider Business Practice Location Address
First Line	:	5970 LEMON ST
Second Line	:
City	:	EAST PETERSBURG
State	:	PA
Zip	:	17520-1316
Country	:	US
Telephone Number	:	717-569-7011
Fax Number	:	717-569-8694

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2005
Last Update Date	:	11/16/2009

Similar Medicare Providers

1578740551 — BOAS SURGICAL, INC.
Practice Location Address:

5970 LEMON ST
EAST PETERSBURG, PA
17520-1316

Practice Phone: 717-239-1570
Practice Fax: 717-239-1572

1073279329 — SANDRA MCGLOTHLIN RD, LDN
Practice Location Address:

1512 7TH AVE N
ST PETERSBURG, FL
33705-1316

Practice Phone: 813-966-1413
Practice Fax:

1962401539 — COMMUNITY CARE HEALTH SERVICES
Practice Location Address:

3218 S 79TH EAST AVE , SUITE 100
TULSA, OK
74145-1316

Practice Phone: 918-624-4400
Practice Fax: 918-624-4401

1033119805 — THOMAS ANDREW SCHOOLEY D.O.
Practice Location Address:

3218 S 79TH EAST AVE
TULSA, OK
74145-1316

Practice Phone: 918-663-6228
Practice Fax: 918-828-0135

1013993120 — FREDERICK I COHEN M.D.
Practice Location Address:

3218 S 79TH EAST AVE
TULSA, OK
74145-1316

Practice Phone: 918-663-6228
Practice Fax: 918-665-0925

1164409025 — CHANDAN LAD M.D.
Practice Location Address:

3218 S 79TH EAST AVE
TULSA, OK
74145-1316

Practice Phone: 918-728-6880
Practice Fax: 918-728-6881

Directions to “ PERRY B KUBEK D.O.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.