Active NPI
Hubert T. Servis, MD
- Surgery Physician
- Pueblo, CO
National Provider Identifier
1346435567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 20286
- Practice address
- 1600 W 24TH St
Pueblo, CO 81003-1411 - Phone
- (719) 546-4947
- NPI assigned
- Sep 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 20286 | CO | Primary |
Addresses
Primary practice location
1600 W 24TH St
Pueblo, CO 81003-1411
Mailing address
1600 W 24TH St
Pueblo, CO 81003-1411
Phone (719) 546-4947
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 |
|---|---|---|---|
| 20286 | CO | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189468800000",
"number": "1346435567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W 24TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810031411",
"telephone_number": "719-546-4947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 24TH ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810031411",
"telephone_number": "719-546-4947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERVIS",
"first_name": "HUBERT",
"middle_name": "T.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-11",
"last_updated": "2007-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CO",
"license": "20286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.