TIMOTHY HUBBARD (NPI# 1669889390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669889390 |
Entity Type | Individual |
Full Name | TIMOTHY HUBBARD |
Credential | PA-C |
Practice Address |
275 S School Ave Hartville MO 65667-8406 |
Mailing Address |
Po Box 1359 Ava MO 65608-1359 |
Practice Telephone | 4177417484 |
Practice Fax Number | 4177417482 |
Mailing Telephone | 4176835739 |
Mailing Fax Number | 4176836153 |
Enumeration Date | 2014-07-15 |
Last Update Date | 2019-08-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2014023848 | MO | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1312 N. Highway 5, Ava, MO 65608 | 4176834045 | 4176836069 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699312843 | Timothy Lewis Hubbard | Registered Nurse | 851 Deer Run Lake Rd, Holly, MI 48442-1570 | 2019-12-06 |
1235625500 | Timothy M Hubbard | Marriage & Family Therapist | 2501 N Green Valley Pkwy Ste 116118, Henderson, NV 89014-0273 | 2018-07-10 |
1568523389 | Timothy Michael Hubbard | Family Medicine | 4400 Sheridan Rd, Kenosha, WI 53140-5747 | 2006-12-13 |
1780675041 | Timothy Terrell Hubbard | Physician Assistant | 321 Kirkland Dr, Lawrenceville, GA 30044-2023 | 2005-11-04 |
1609901040 | Timothy George Hubbard | Case Manager/Care Coordinator | 2325 S Harvard, Tulsa, OK 74114-3300 | 2007-02-23 |
1942281647 | Timothy Dale Hubbard | Chiropractor | 20055 Sw Pacific Hwy, Sherwood, OR 97140-9294 | 2005-11-09 |
Street Address |
275 S SCHOOL AVE |
City | HARTVILLE |
State | MO |
Zip Code | 65667-8406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518902352 | Hartville Medical Center Inc | Family Medicine | 275 S School Ave, Hartville, MO 65667 | 2006-06-17 |
1609949403 | Hartville Medical Center Inc | General Practice | 275 S School Ave, Hartville, MO 65667 | 2006-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730481664 | Kim Bushnell | Speech-Language Pathologist | 175 N School Ave, Hartville, MO 65667 | 2010-11-29 |
1558790410 | Baker Drug LLC | Pharmacy | 118 E. Rolla Street, Hartville, MO 65667-0056 | 2013-11-01 |
1437235397 | Star Pharmacy, Inc. | Pharmacist | 118 East Rolla St, Hartville, MO 65667-0069 | 2006-10-31 |
1841360880 | County of Wright Division of Health | Public Health or Welfare | 300 South Main, Hartville, MO 65667-0097 | 2006-11-08 |
1972817690 | Hartville R-ii School District | Local Education Agency (LEA) | 175 N School Ave, Hartville, MO 65667-0460 | 2010-08-05 |
1457864209 | Brittany Horn | Speech-Language Pathologist | 4927 Highway 5, Hartville, MO 65667-7299 | 2017-11-14 |
1497778971 | Rodney Eugene Bowers | Internal Medicine | 6585 Highway H, Hartville, MO 65667-8142 | 2006-07-25 |
1063467900 | Hartville Care and Rehabilitation Center Inc | Skilled Nursing Facility | 649 W Rolla St, Hartville, MO 65667-8221 | 2006-05-22 |
1275962888 | N & R of Hartville, LLC | Skilled Nursing Facility | 649 W Rolla St, Hartville, MO 65667-8221 | 2013-11-04 |
1801096631 | Jason Kirk Smith | Occupational Therapist | 649 W Rolla St, Hartville, MO 65667-8221 | 2007-07-19 |
Find all providers in zip 65667 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922628528 | Sarah Benson | Physician Assistant | 26791 Andrews Ln, Warrenton, MO 63383-6240 | 2020-04-23 |
1154956498 | Ashleigh Clendenny | Physician Assistant | Mercy Hospital St. Louis, 615 S New Ballas Rd, St. Louis, MO 63141 | 2020-03-06 |
1912538752 | Karen Anghel | Physician Assistant | 804 S Kisner Dr, Independence, MO 64056-3062 | 2020-01-30 |
1457822082 | Jwan Alallaf | Physician Assistant | 4121 Roanoke Rd Apt 18, Kansas City, MO 64111-4053 | 2018-12-07 |
1730602921 | Saurav N Kayastha | Physician Assistant | 13013 Fuller Ave Ste A, Grandview, MO 64030-2687 | 2017-07-19 |
1891227393 | Hollis Smith | Physician Assistant | 2015 Maplewood Commons Dr, Saint Louis, MO 63143-1003 | 2017-04-03 |
1992165104 | Cassie Mcgee | Physician Assistant | 1051 Jones St, Kennett, MO 63857-3866 | 2016-03-01 |
1033462387 | Miguel Angel Medina | Physician Assistant | 1900 South Sunshine Ave., Springfield, MO 65807 | 2012-10-24 |
1699084814 | Travis James Weiss | Physician Assistant | 6724 State Highway 77, Benton, MO 63736-8238 | 2010-10-05 |
1235453150 | James F Patton | Physician Assistant | 913 South St, Stockton, MO 65785-9381 | 2010-03-22 |
Find all providers with the same taxonomy |
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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.