Active NPI
Nicole Ann Hubbard, MD
- Clinical Pathology Physician
- Toledo, OH
National Provider Identifier
1063675882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Pathology Physician
- License
- 35.122940
- Practice address
- 2142 N Cove Blvd
CLM-Pathology Lab
Toledo, OH 43606-3895 - Phone
- (419) 534-3500
- Fax
- (419) 534-2608
- NPI assigned
- Jul 2, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Pathology Physician | 207ZC0006X | 35.122940 | OH | Primary |
Addresses
Primary practice location
2142 N Cove Blvd
CLM-Pathology Lab
Toledo, OH 43606-3895
Mailing address
3170 W Central Ave
CLM Pathology Lab
Toledo, OH 43606-2945
Phone (419) 534-3500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.122940 | OH | MD | Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1407974400000",
"number": "1063675882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 W CENTRAL AVE",
"address_2": "CLM PATHOLOGY LAB",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436062945",
"telephone_number": "419-534-3500",
"fax_number": "419-534-2608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2142 N COVE BLVD",
"address_2": "CLM-PATHOLOGY LAB",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063895",
"telephone_number": "419-534-3500",
"fax_number": "419-534-2608"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "NICOLE",
"middle_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-02",
"last_updated": "2014-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0006X",
"taxonomy_group": "",
"desc": "Pathology, Clinical Pathology",
"state": "OH",
"license": "35.122940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.