Active NPI
Eugene Edward Hiben, M.D.
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1336178979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0068338
- Practice address
- 13381 N 56TH St
Tampa, FL 33617-1161 - Phone
- (813) 983-9495
- Fax
- (813) 983-9496
- NPI assigned
- Jul 3, 2006
- Last updated
- Apr 15, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0068338 | FL | Primary |
Addresses
Primary practice location
13381 N 56TH St
Tampa, FL 33617-1161
Mailing address
13381 N 56TH St
Tampa, FL 33617-1161
Phone (813) 983-9495
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202786569 | Other | FL | TRICARE |
| 202786569 | Other | FL | PHCS |
| 4646665 | Other | FL | AETNA |
| 11107101 | Other | FL | CITRUS |
| 206656 | Other | FL | AVMED |
| 202786569 | Other | FL | UNITED HEALTHCARE |
| 202786569 | Other | FL | BEECH STREET |
| 04829 | Other | FL | HEALTHEASE |
| 202786569 | Other | FL | GREAT WEST |
| 202786569 | Other | FL | CIGNA |
| 202786569 | Other | FL | HUMANA |
| 378347200 | Medicaid | FL | |
| 04829 | Other | FL | STAYWELL |
| 204612 | Other | FL | AMERIGROUP |
| 27158 | Other | FL | BLUE SHIELD FLORIDA |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0068338 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene E Hiben MD PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- hiben.eugene.003.0090227@ptb.meditab.direct-ci.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Pediatrics Physician
- Tampa, FL
- NPI 1447635677
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1336178979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13381 N 56TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171161",
"telephone_number": "813-983-9495",
"fax_number": "813-983-9496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13381 N 56TH ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336171161",
"telephone_number": "813-983-9495",
"fax_number": "813-983-9496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIBEN",
"first_name": "EUGENE",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0068338",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "202786569",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "202786569",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4646665",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CITRUS",
"identifier": "11107101",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "206656",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "202786569",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEECH STREET",
"identifier": "202786569",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHEASE",
"identifier": "04829",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "202786569",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "202786569",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "202786569",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "378347200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STAYWELL",
"identifier": "04829",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "204612",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD FLORIDA",
"identifier": "27158",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.