Organization Active NPI

Barbara a Lubin MD LLC

  • Adult Medicine Physician
  • Panama City, FL
National Provider Identifier
1235508292
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
ME0052928 Issued in FL
Legal business name
BARBARA A LUBIN MD LLC
Practice address
1124 Jenks Ave
Panama City, FL 32401-2439
Phone
(850) 785-8246
Fax
(850) 785-8249
NPI assigned
Sep 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Dr. Barbara A Lubin, M.DNPI 1629007885
Title
Physician Sole MBR
Phone
(850) 814-0785

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X ME0052928 FL Primary

Addresses

Primary practice location

1124 Jenks Ave
Panama City, FL 32401-2439

Mailing address

1124 Jenks Ave
Panama City, FL 32401-2439
Phone (850) 785-8246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151201003255 FL Part B Supplier - Clinic/Group Practice 2466752118 Receives reassigned benefits from 1 practitioner
Practice locations: Panama City, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2101317Barbara a Lubin MD LLC1124 Jenks Ave, Panama City, FL 32401Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1235508292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1124 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012439",
            "telephone_number": "850-785-8246",
            "fax_number": "850-785-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1124 JENKS AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324012439",
            "telephone_number": "850-785-8246",
            "fax_number": "850-785-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA A LUBIN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-21",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "LUBIN",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN SOLE MBR",
        "authorized_official_telephone_number": "850-814-0785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "FL",
            "license": "ME0052928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.