Hublall Radiology, LLC

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

200401951 Issued in MO

Legal business name

HUBLALL RADIOLOGY, LLC

Practice address

1905 W 32ND St
Joplin, MO 64804-1529

Phone

(417) 626-0072

Fax

(417) 626-0919

NPI assigned

Jan 4, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Ronald V Hublall, MD

Title

Owner/Radiologist

Phone

(913) 825-0896

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222128000000",
    "number": "1467637769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25673",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662255673",
            "telephone_number": "913-825-0896",
            "fax_number": "913-825-3786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 W 32ND ST",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648041529",
            "telephone_number": "417-626-0072",
            "fax_number": "417-626-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBLALL RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-09-23",
        "status": "A",
        "authorized_official_last_name": "HUBLALL",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER/RADIOLOGIST",
        "authorized_official_telephone_number": "913-825-0896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "200401951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelia Diane Howe, LPN
• Alan Clifford Howell, M.D.
• Lawrence Anthony Hoyt, MD
• Madison M Hritz
• Jalia Lei Hubbard
• Andrea Noel Huddleston, FNP-C
• Bert Lawrence Hudson Jr., DO
• Kalaichelvi R Huff, M.D.
• Jeffrey Alan Huffman, RPH., BCPS
• Mikayla Ann Huggins

• Diagnostic Radiology Physician in Joplin, MO
• Providers in Joplin, MO by specialty
• Diagnostic Radiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; 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.