NPIMap

Individual provider Active NPI

Dawn Renee Hubbard, MD

  • Family Medicine Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1114934825
Registry record updated Sep 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35071199H Issued in OH
Practice address
265 Portage Trail Ext W
Suite 200
Cuyahoga Falls, OH 44223-3613
Phone
(330) 928-3111
Fax
(330) 928-2843
NPI assigned
Aug 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35071199H OH Primary

Addresses

Primary practice location

265 Portage Trail Ext W
Suite 200
Cuyahoga Falls, OH 44223-3613

Mailing address

265 Portage Trail Ext W
Suite 200
Cuyahoga Falls, OH 44223-3613
Phone (330) 928-3111

Other identifiers 1

IdentifierTypeStateIssuer
2034015MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080826000420 OH Practitioner - Family Practice 7214002245 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Northeastern Ohio University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

525 E Market St
Akron, OH 44304-1619

Hospital & facility affiliations

  • Summa Home Health and Hospice LLC Home health agency, Akron, OH, CCN 367713
  • Summa Health System Hospital, Akron, OH, CCN 360020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35071199HOHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Family Medicine CurrentSince Jan 31, 2008 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Jan 31, 2008 Accepting new patients
Summa Physicians LLC Past Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

4211 State Route 44
Unit 1550
Rootstown, OH 44272
Phone (330) 325-7171

Interoperability endpoints

  • Direct secure messaging: dhubbard25295@summahealth-direct.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315872000000",
    "number": "1114934825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 PORTAGE TRAIL EXT W",
            "address_2": "SUITE 200",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233613",
            "telephone_number": "330-928-3111",
            "fax_number": "330-928-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 PORTAGE TRAIL EXT W",
            "address_2": "SUITE 200",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442233613",
            "telephone_number": "330-928-3111",
            "fax_number": "330-928-2843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "DAWN",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-02",
        "last_updated": "2011-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35071199H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2034015",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

Verify at the official NPI Registry.