Steven Dylan Hubbard (NPI# 1861909426, PAC ID# 5092061333) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1861909426 |
| PAC ID by PECOS | 5092061333 |
| Professional Enrollment ID | I20180628003427 |
| Full Name | Steven Dylan Hubbard |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Address |
400 N State of Franklin Rd Johnson City TN 37604-6035 |
| Phone Number | 4234316111 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 0042307852 |
| Number of Group Practice Members | 242 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440063 | JOHNSON CITY MEDICAL CENTER |
| 440018 | SYCAMORE SHOALS HOSPITAL |
| 440050 | TAKOMA REGIONAL HOSPITAL |
| 440001 | UNICOI COUNTY MEMORIAL HOSPITAL |
| 441304 | JOHNSON COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1501 W Elk Ave, Elizabethon, TN 37643-2874 | 4235421300 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| 400 N State of Franklin Rd, Johnson City, TN 37604-6035 | 4234316111 | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Organization Legal Name | SOUTHEASTERN PHYSICIAN SERVICES PC |
| Physicians | 263 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faisal A Soliman | Internal Medicine | Southeastern Physician Services PC | 1995 Hwy 51 S, Covington, TN 38019-3635 |
| Tia Camille Joyce | Nurse Practitioner | Southeastern Physician Services PC | 157 Ross Carter Blvd, Duffield, VA 24244-5116 |
| Patrick C Finney | Internal Medicine | Southeastern Physician Services PC | 2501 Kentucky Ave, Paducah, KY 42003-3813 |
| Carol Ann Berger | Nurse Practitioner | Southeastern Physician Services PC | 300 1st Capitol Dr, Saint Charles, MO 63301-2844 |
| William T Rawlinson | Internal Medicine | Southeastern Physician Services PC | 2305 Chambliss Ave Nw, Cleveland, TN 37311-3847 |
| Mark D Nowell | Emergency Medicine | Southeastern Physician Services PC | 723 Burkesville Rd, Albany, KY 42602-1654 |
| Lavada Smith | Nurse Practitioner | Southeastern Physician Services PC | 894 Leland Ave, Saint Louis, MO 63130-3239 |
| Kevin L Flowers | Family Medicine | Southeastern Physician Services PC | 1100 Brookhaven Rd, Franklin, KY 42134-2746 |
| Peter J Anderson | Internal Medicine | Southeastern Physician Services PC | 989 Medical Park Dr, Maysville, KY 41056-8750 |
| Hunter Stidham | Physician Assistant | Southeastern Physician Services PC | 310 S Limestone, Lexington, KY 40508-3008 |
| Street Address |
400 N STATE OF FRANKLIN RD |
| City | JOHNSON CITY |
| State | TN |
| Zip | 37604-6035 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mitchell E Deshazer | Critical Care (intensivists) | Blue Ridge Medical Management Corporation | 400 N State of Franklin Rd, Rm 2746, Johnson City, TN 37604-6035 |
| Andrew Lee Gibson | Emergency Medicine | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Jeffrey D Turner | Emergency Medicine | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Emily R Patterson | Pathology | Watauga Pathology Associates PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Ralph Daniel Snider | Critical Care (intensivists) | Blue Ridge Medical Management Corporation | 400 N State of Franklin Rd, Rm 2746, Johnson City, TN 37604-6035 |
| Thomas Matthew Soike | Pathology | Watauga Pathology Associates PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Rhonda C Hillman | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin Rd, Rm 2746, Johnson City, TN 37604-6035 |
| John H Mullins | Nurse Practitioner | Tri-cities Regional Emergency Physicians, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Neil Pressley | Nurse Practitioner | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Mark W Ingram | Physician Assistant | Tri-cities Observation Services, PC | 400 N State of Franklin Rd, Johnson City, TN 37604-6035 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elnora Spradling | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Stephen A Cradic | Chiropractic | 206 Headtown Rd, Suite 100, Jonesbourough, TN 37604 | |
| Shweta Kharalkar | Hospitalist | Blue Ridge Medical Management Corporation | 408 N State of Franklin, Suite 24, Johnson City, TN 37604 |
| Devapiran Jaishankar | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jamie E Carnell | Nurse Practitioner | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Sakshi Singal | Hematology/oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Selma Zukic Kominek | Neurosurgery | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Kanishka Chakraborty | Medical Oncology | Blue Ridge Medical Management Corporation | 1 Professional Pk Dr, Suite 21, Johnson City, TN 37604 |
| Jessica Glasscock Mcgahey | Nurse Practitioner | Blue Ridge Medical Management Corporation | 400 N State of Franklin, Room Lk015, Johnson City, TN 37604-0000 |
| Adam Horn | Nurse Practitioner | Blue Ridge Medical Management Corporation | 403 N State of Franklin Rd, Johnson City, TN 37604-0000 |
| Find all physicians in zip 37604 | |||
| City | JOHNSON CITY |
| Zip Code | 37604 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | JOHNSON CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Steven Dylan 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.