Thomas Hubbert, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1122 Issued in NE

Practice address

6901 N 72ND Street
Omaha, NE 68122-1799

Phone

(402) 572-2225

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Father Flanagan's Boys' Home

  dba Boys Town Professional Services

  • Pediatrics Physician
  • Omaha, NE
  • NPI 1295821825

  Physician Assistant

  Medicare reassignment NPD
• Emergency Physicians of Eastern Nebraska, PC

  • Emergency Medicine Physician
  • Bellevue, NE
  • NPI 1366774416
  NPD (past)
• ENT Services PC

  • Otolaryngology Physician
  • Omaha, NE
  • NPI 1194822130

  Physician Assistant

  NPD (past)
• Father Flanagan's Boys Home

  dba Boys Town Center for Behavioral Health

  • Psychologist
  • Boys Town, NE
  • NPI 1265405419
  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193443200000",
    "number": "1174563225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31058",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681310058",
            "telephone_number": "886-898-7142",
            "fax_number": "616-975-9824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N 72ND STREET",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681221799",
            "telephone_number": "402-572-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBERT",
        "first_name": "THOMAS",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NE",
            "license": "1122",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "P00102788",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Carl Hubbard
• Anne M Hubbard, MD
• Kymica Deloris Hubbard
• Roosevelt Hubbard
• Sydney Hubbard, MGC
• Lester Dominick Hubble, MD
• Grayson Huben, MD
• Donna L Huber, L.AC, M.SC
• Erin Huber I, M.A., LMHP
• Kristen A Huber, M.D.

• Physician Assistant in Omaha, NE
• Providers in Omaha, NE by specialty
• Physician Assistant in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.