Active NPI
Matthew J. Huebner, M.D.
- Emergency Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1235173717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME95683
- Practice address
- 330 Coconut Isle Dr
Fort Lauderdale, FL 33301-2424 - Phone
- (954) 376-1684
- Fax
- (954) 689-5145
- NPI assigned
- Jun 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME95683 | FL | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 49674 | TN |
Addresses
Primary practice location
330 Coconut Isle Dr
Fort Lauderdale, FL 33301-2424
Mailing address
330 Coconut Isle Dr
Fort Lauderdale, FL 33301-2424
Phone (954) 376-1684
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 |
|---|---|---|---|
| 49674 | TN | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inphynet South Broward LLC | Emergency Medicine | Past | Accepting new patients |
| Cleveland Clinic Florida a Nonprofit Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Weston, FL
- NPI 1215989298
-
- Emergency Medicine Physician
- Hollywood, FL
- NPI 1871521880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1235173717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 COCONUT ISLE DR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012424",
"telephone_number": "954-376-1684",
"fax_number": "954-688-9514"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 COCONUT ISLE DR",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333012424",
"telephone_number": "954-376-1684",
"fax_number": "954-689-5145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEBNER",
"first_name": "MATTHEW",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME95683",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TN",
"license": "49674",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.