Jason Trygve Stubbs, D.O.

Primary specialty

Facial Plastic Surgery PhysicianTaxonomy code 207YS0123X

License

5101022863 Issued in MI

Practice address

3654 N Investment Dr # 120
Fayetteville, AR 72703-5441

Phone

(216) 904-6596

NPI assigned

Jun 19, 2007

Last updated

May 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Plastic and Reconstructive SurgeryAlso: Otolaryngology

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Stubbs Center PLLC

  dba Stubbs Center for Cosmetic Surgery

  • Plastic and Reconstructive Surgery Physician
  • Fayetteville, AR
  • NPI 1831957760
  Medicare reassignment NPD
• QHG of Springdale Inc

  dba Northwest Medical Center -- Bentonville

  • General Acute Care Hospital
  • Bentonville, AR
  • NPI 1417900713
  NPD (past)
• Ozarks Medical Center

  dba Ozarks Healthcare

  • General Acute Care Hospital
  • West Plains, MO
  • NPI 1831115641
  NPD (past)

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1578768644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3654 N INVESTMENT DR # 120",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035441",
            "telephone_number": "216-904-6596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3654 N INVESTMENT DR # 120",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727035441",
            "telephone_number": "216-904-6596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "JASON",
        "middle_name": "TRYGVE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "MI",
            "license": "5101022863",
            "primary": true
        },
        {
            "code": "207YS0123X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Facial Plastic Surgery",
            "state": "IN",
            "license": "02004173A",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MI",
            "license": "5101022863",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Baxter Stringfellow, MHPP
• Grace A Stroh
• Russell Van Stroud, ACNP
• Kelsey Struckhoff
• Stubbs Center PLLC (Stubbs Center for Cosmetic Surgery)
• Elizabeth Bacon Studdard, MAT, ATC
• Patricia Studer, PSY.D.
• Adrian David Sturdevant, D.C.
• Megan Sturdivant
• Jennifer Ruth Sugg, LPC

• Facial Plastic Surgery Physician in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Facial Plastic Surgery Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.