CARL RUSSELL HUBBLE (NPI# 1194007674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194007674 |
| Entity Type | Individual |
| Full Name | CARL RUSSELL HUBBLE |
| Credential | PA-C |
| Practice Address |
4000 Wellness Dr Midland MI 48670-0001 |
| Mailing Address |
4000 Wellness Dr Midland MI 48670-2000 |
| Practice Telephone | 9898391644 |
| Practice Fax Number | 9898393029 |
| Mailing Telephone | 9898391644 |
| Mailing Fax Number | 9898391376 |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2019-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4000 WELLNESS DR |
| City | MIDLAND |
| State | MI |
| Zip Code | 48670-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588663207 | Darcey G Cox | Anesthesiology | 4000 Wellness Dr, Midland, MI 48670-2000 | 2005-07-15 |
| 1396345575 | Graceson Caroline Kerr | Physician Assistant | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-10-28 |
| 1245840560 | Dorothy Wong | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-08-01 |
| 1861002206 | Logan Amanda Steffke | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1598375941 | Jonathon Skurya | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-31 |
| 1063021673 | Jenna Ann Randolph | Speech-Language Pathologist | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-29 |
| 1134738099 | Natalie Hamilton | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-5024 | 2020-07-27 |
| 1306455266 | Lauren Stull | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-27 |
| 1043828353 | Shing Chao | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
| 1477161784 | Jordan Killingsworth | Student in an Organized Health Care Education/Training Program | 4000 Wellness Dr, Midland, MI 48670-2000 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104048768 | Midmichigan Visiting Nurse Association | Durable Medical Equipment & Medical Supplies | 4000 Wellness, Midland, MI 48670 | 2007-05-03 |
| 1669414736 | William Thomas Mccadie Jr. | Internal Medicine | 4000 Wellness Dr., Mid Michigan Health, Midland, MI 48670 | 2006-06-12 |
| 1225404510 | Oluwakemi Soetan | Internal Medicine | 4000 Wellness, Midland, MI 48670 | 2015-08-20 |
| 1477866044 | Sundeep Atluri | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670 | 2010-07-23 |
| 1710210679 | William Michael Plaza Mellana Jr. | Internal Medicine | 4201 Campus Ridge Dr Ste 3100, Midland, MI 48670 | 2009-09-10 |
| 1740827724 | Timothy W Holden | Family Medicine | 4005 Orchard Dr Midland, Midland, MI 48670-0001 | 2019-12-09 |
| 1265074991 | Kevin Gerard Przybylski | Pharmacist | 4000 Wellness Drive Inpatient Pharmacy, Midland, MI 48670-0001 | 2019-10-15 |
| 1982731659 | Midmichigan Medical Center-midland | Internal Medicine | 4000 Wellness Drive, Midland, MI 48670-0001 | 2007-02-28 |
| 1760569958 | Ximena Elizabeth Gumpel | Physician Assistant | Radiation Oncology, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-11-01 |
| 1326158072 | David Eric Newcomb II | Emergency Medicine | Emergency Department Mid-michigan Regional Med Ctr, 4005 Orchard Drive, Midland, MI 48670-0001 | 2006-08-30 |
| Find all providers in zip 48670 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619523644 | Lillian Moreno | Physician Assistant | 3600 N Garfield St., Midland, TX 79705 | 2019-08-15 |
| 1790251031 | Valarie Ramirez Alcala | Physician Assistant | 3400 Andrews Hwy, Midland, TX 79703-5100 | 2018-10-14 |
| 1487136537 | Heather Zamarron | Physician Assistant | 4400 N Midland Dr Ste 406b, Midland, TX 79707-3388 | 2018-09-05 |
| 1003214511 | Laura Sonnenburg | Physician Assistant | 4214 Andrews Hwy Ste 306, Midland, TX 79703-4870 | 2014-12-15 |
| 1437356730 | Johnny Lynn Flitton | Physician Assistant | 3401 Greenbriar, Suite 200, Midland, TX 79707-4652 | 2007-06-29 |
| 1942411038 | George Roger Vaillant | Physician Assistant | 119 Steele Creek Dr, Midland, GA 31820-4597 | 2007-05-24 |
| 1629139555 | Julie M. Davidson | Physician Assistant | 122 North N Street, Midland, TX 79701-6409 | 2006-12-13 |
| 1902994999 | Meredith Leigh Letzer | Physician Assistant | 4500 N Campus Ridge Dr, Midland, MI 48640-6123 | 2006-10-11 |
| 1538171616 | Midland Complete Family Care and Associates | Physician Assistant | 4310 W Illinois Ave, Ste 320, Midland, TX 79703-5529 | 2006-08-13 |
| 1437175163 | Nanette R Paredes | Physician Assistant | 400 Rosalind Redfern Grover Pkwy Ste 120, Midland, TX 79701-5849 | 2006-07-14 |
| Find all providers in MIDLAND | ||||
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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.