Individual provider Active NPI

Elizabeth W Hubbard, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Knoxville, TN
National Provider Identifier
1225097686
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
20519 Issued in TN
Practice address
1924 Alcoa Highway
The University of Tennessee Medical Center Path Dept
Knoxville, TN 37920-6999
Phone
(865) 305-9080
Fax
(865) 305-6866
NPI assigned
Mar 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 20519 TN Primary

Addresses

Primary practice location

1924 Alcoa Highway
The University of Tennessee Medical Center Path Dept
Knoxville, TN 37920-6999

Mailing address

1924 Alcoa Highway
The University of Tennessee Medical Center Path Dept
Knoxville, TN 37920-6999
Phone (865) 305-9080

Other identifiers 1

IdentifierTypeStateIssuer
3061339MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101116000329 TN Practitioner - Pathology 5294920211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Medical University of South Carolina College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8085 Rivers Ave
North Charleston, SC 29406-9239

8401 Jack Finney Blvd
Greenville, TX 75402-3017

Hospital & facility affiliations

  • University Health System, Inc Hospital, Knoxville, TN, CCN 440015

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University Pathologists, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Aug 25, 2010 Accepting new patients

Locations

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

Dept 888075
Knoxville, TN 37995

Organizations & group practices 1

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 1

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1225097686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HIGHWAY",
            "address_2": "THE UNIVERSITY OF TENNESSEE MEDICAL CENTER PATH DEPT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206999",
            "telephone_number": "865-305-9080",
            "fax_number": "865-305-6866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1924 ALCOA HIGHWAY",
            "address_2": "THE UNIVERSITY OF TENNESSEE MEDICAL CENTER PATH DEPT",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379206999",
            "telephone_number": "865-305-9080",
            "fax_number": "865-305-6866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "ELIZABETH",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TN",
            "license": "20519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3061339",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

Verify at the official NPI Registry.