Audrey Anne Hubler (NPI# 1831754720, PAC ID# 4688917727) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1831754720 |
| PAC ID by PECOS | 4688917727 |
| Professional Enrollment ID | I20190513002662 |
| Full Name | Audrey Anne Hubler |
| Organization Legal Name | SGOH ACQUISITION INC |
| Address |
109 N Broadway St South West City MO 64863-9417 |
| Phone Number | 4177623287 |
| Gender | F |
| Graduation Year | 2019 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 5092616276 |
| Number of Group Practice Members | 72 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 041331 | OZARKS COMMUNITY HOSPITAL OF GRAVETTE |
| 171308 | MERCY HOSPITAL COLUMBUS |
| Address | Phone | Organization |
|---|---|---|
| 109 N Broadway St, South West City, MO 64863-9417 | 4177623287 | SGOH ACQUISITION INC |
| Organization Legal Name | SGOH ACQUISITION INC |
| Physicians | 74 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Kristina Chance | Clinical Social Worker | Sgoh Acquisition Inc | 2485 N Main St, Och Jay Family Clinic, Jay, OK 74346-2201 |
| Tara N Loveland | Nurse Practitioner | Sgoh Acquisition Inc | 155 Village Dr, Sparta, MO 65753-8104 |
| Amberlyn Casie Logan | Nurse Practitioner | Sgoh Acquisition Inc | 105 S Ridgecrest Ave, Nixa, MO 65714-7807 |
| Thomas E Dahlberg | Family Medicine | Sgoh Acquisition Inc | 101 S Main St, Rogersville, MO 65742-9357 |
| William J Howitt | Family Medicine | Sgoh Acquisition Inc | 1540 E Evergreen St, Springfield, MO 65803-4300 |
| William Mckay | Family Medicine | Sgoh Acquisition Inc | 108 S Hickory St, Mount Vernon, MO 65712-1407 |
| Charles Watt | Geriatric Medicine | Sgoh Acquisition Inc | 106 S Hickory St, Mount Vernon, MO 65712-1407 |
| Dennis Dobard | Psychiatry | Sgoh Acquisition Inc | 2828 N National Ave, Springfield, MO 65803-4306 |
| Jackie S Beene | Family Medicine | Sgoh Acquisition Inc | 112 N Webb St, Webb City, MO 64870-1916 |
| David Tucker | Family Medicine | Sgoh Acquisition Inc | 1101 Jackson St Sw, Gravette, AR 72736-9121 |
| Street Address |
109 N BROADWAY ST |
| City | SOUTH WEST CITY |
| State | MO |
| Zip | 64863-9417 |
| City | SOUTH WEST CITY |
| Zip Code | 64863 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | SOUTH WEST CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Audrey Anne Hubler.
| 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.