Dustin Randall Hubbard (NPI# 1306279724, PAC ID# 1254610355) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1306279724 |
| PAC ID by PECOS | 1254610355 |
| Professional Enrollment ID | I20170407000117 |
| Full Name | Dustin Randall Hubbard |
| Organization Legal Name | FAIRBANKS FOOT AND ANKLE INC |
| Address |
1405 Kellum St Suite 200 Fairbanks AK 99701-4189 |
| Phone Number | 9074519202 |
| Gender | M |
| Graduation Year | 2013 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 8224162359 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 020012 | FAIRBANKS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1405 Kellum St, Suite 200, Fairbanks, AK 99701-4189 | 9074519202 | FAIRBANKS FOOT AND ANKLE INC |
| Organization Legal Name | FAIRBANKS FOOT AND ANKLE INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph S Dixon | Podiatry | Fairbanks Foot and Ankle Inc | 1405 Kellum St, Suite 200, Fairbanks, AK 99701-4189 |
| Street Address |
1405 KELLUM ST SUITE 200 |
| City | FAIRBANKS |
| State | AK |
| Zip | 99701-4189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Ribar | Osteopathic Manipulative Medicine | Tanana Valley Clinic LLC | 1405 Kellum St, Suite 300, Fairbanks, AK 99701-4189 |
| Dennis M Rogers | Physician Assistant | Tanana Valley Clinic LLC | 1405 Kellum St, Suite 300, Fairbanks, AK 99701-4189 |
| Ralph S Dixon | Podiatry | Fairbanks Foot and Ankle Inc | 1405 Kellum St, Suite 200, Fairbanks, AK 99701-4189 |
| Milton J Wright | Family Medicine | Tanana Valley Clinic LLC | 1405 Kellum St, Suite 300, Fairbanks, AK 99701-4189 |
| Michael J Pomeroy | Physician Assistant | Steese Orthopaedic Associates, LLC | 1405 Kellum St, Fairbanks, AK 99701-4189 |
| Richard H Cobden | Orthopedic Surgery | Steese Orthopaedic Associates, LLC | 1405 Kellum St, 101 Fairbanks Orthopaedic Center, Fairbanks, AK 99701-4189 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carol J Davis | Chiropractic | 1018 College Rd, Fairbanks, AK 99701-1557 | |
| William A Tewson | Chiropractic | 29 College Rd, 8b1, Fairbanks, AK 99701-1739 | |
| Virginia R Lind | Optometry | 59 College Rd, Suite 209, Fairbanks, AK 99701-1757 | |
| Aimee Desiree Burgess | Chiropractic | Life Sprout Chiropractic LLC | 505 Illinois St, Suite 4, Fairbanks, AK 99701-2946 |
| Jeremy Cole Fulk | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| David J Peterson | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Damien R Delzer | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Stanley R Fuller | Ophthalmology | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Natalie E Macke | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Rebecca S Wilbur | Optometry | Eye Clinic of Fairbanks Inc | 116 Minnie St, Fairbanks, AK 99701-3006 |
| Find all physicians in zip 99701 | |||
| City | FAIRBANKS |
| Zip Code | 99701 |
| Specialty | PODIATRY |
| City + Specialty | FAIRBANKS + PODIATRY |
Please comment or provide details below to improve the information on Dustin Randall Hubbard.
| 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.