Roger L Lubbers, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

036-081676 Issued in IL

Practice address

608 35TH Ave
Moline, IL 61265-6145

Phone

(309) 277-3500

Fax

(309) 277-3050

NPI assigned

Feb 4, 2006

Last updated

Jan 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

• Urological Group LTD

  • Urology Physician
  • Moline, IL
  • NPI 1023222338
  Authorized official Same address or phone

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

{
    "created_epoch": "1139011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1285606111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656145",
            "telephone_number": "309-277-3500",
            "fax_number": "309-277-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656145",
            "telephone_number": "309-277-3500",
            "fax_number": "309-277-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUBBERS",
        "first_name": "ROGER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-04",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-081676",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "29128",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "MD-29128",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03681676",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12856061",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martin Logo, MPH
• Samuel Long
• Francis M Loomis II
• Catherine M Loose, OT
• Scott R Lopshire, D.D.S.
• Gary Brent Ludwig, PH.D
• Nicholas Scott Ludwig, M.D.
• Dave Curtis Lundberg
• Bradley J Lutchka
• Lutheran Social Services of Illinois (Intouch Home Care Services)

• Urology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Urology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.