NPIMap

Organization Active NPI

Charles G. Hubbell MD PS

  • Specialist
  • Tacoma, WA
National Provider Identifier
1538210992
Registry record updated Jul 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD0014307 Issued in WA
Legal business name
CHARLES G. HUBBELL MD PS
Practice address
1901 S Union Ave
Suite A229
Tacoma, WA 98405-1702
Phone
(253) 383-3377
Fax
(253) 383-0716
NPI assigned
Jan 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2007

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

Authorized official

Name
Dr. Charles G. Hubbell, M.D.
Title
President
Phone
(253) 383-3377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X MD0014307 WA Primary

Addresses

Primary practice location

1901 S Union Ave
Suite A229
Tacoma, WA 98405-1702

Mailing address

1901 S Union Ave
Suite A229
Tacoma, WA 98405-1702
Phone (253) 383-3377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185062400000",
    "number": "1538210992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE A229",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-383-3377",
            "fax_number": "253-383-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S UNION AVE",
            "address_2": "SUITE A229",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984051702",
            "telephone_number": "253-383-3377",
            "fax_number": "253-383-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES G. HUBBELL MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-14",
        "last_updated": "2007-07-22",
        "status": "A",
        "authorized_official_last_name": "HUBBELL",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "253-383-3377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "WA",
            "license": "MD0014307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 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.

Verify at the official NPI Registry.