Individual
JASON P MCCUBBIN
Active
Individual
JASON P MCCUBBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
41405
KY
208M00000X
Hospitalist Physician
41405
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000548629
ANTHEM- NORTON
KY
01
—
000000629999
ANTHEM
KY
01
—
01066001
MEDICARE
KY
05
—
300070817
—
IN
05
—
7100061930
—
KY
01
—
K422500
MEDICARE
KY
01
—
P00470242
RAILROAD MEDICARE- NORTON CMA
KY
Enumeration date
04/17/2006
Last updated
02/28/2023
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