Active NPI
Jeffrey H Lubin, MD
- Emergency Medicine Physician
- Destin, FL
National Provider Identifier
1457303703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- MD026079E
- Practice address
- 10 Harbor Blvd
#927
Destin, FL 32541-7374 - Phone
- (570) 760-6939
- NPI assigned
- May 16, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD026079E | PA | Primary |
Addresses
Primary practice location
10 Harbor Blvd
#927
Destin, FL 32541-7374
Mailing address
23811 Canella CT
#927
Richmond, TX 77406-1522
Phone (775) 247-2733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001033178 | Medicaid | PA |
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 |
|---|---|---|---|
| MD026079E | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Florida Em-I Medical Services PA | Emergency Medicine | Past | Accepting new patients |
| On Demand Urgent Care Group PC | Past | Accepting new patients | |
| Florida Em-I Medical Services, PA | Emergency Medicine | Past | Accepting new patients |
| Mercy Tyler Hospital | Past | Accepting new patients | |
| Mercy Tyler Health Systems | Past | Accepting new patients |
Locations
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Nurse Practitioner
- Lighthouse Point, FL
- NPI 1831531581
Emergency Medicine
-
- Emergency Medicine Physician
- Tallahassee, FL
- NPI 1083046049
-
- Surgery Physician
- Tunkhannock, PA
- NPI 1881616985
-
- General Acute Care Hospital
- Tunkhannock, PA
- NPI 1386667533
-
- Urgent Care Clinic/Center
- Philadelphia, PA
- NPI 1881083723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1457303703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23811 CANELLA CT",
"address_2": "#927",
"city": "RICHMOND",
"state": "TX",
"postal_code": "774061522",
"telephone_number": "775-247-2733",
"fax_number": "281-783-2556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HARBOR BLVD",
"address_2": "#927",
"city": "DESTIN",
"state": "FL",
"postal_code": "325417374",
"telephone_number": "570-760-6939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBIN",
"first_name": "JEFFREY",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD026079E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001033178",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Destin, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.