Individual provider Active NPI

Sean T Hubbard, D.O

  • Neurology Physician
  • St Petersburg, FL
National Provider Identifier
1598779670
Registry record updated May 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
OS16291 Issued in FL
Practice address
603 7TH St S Ste 400
St Petersburg, FL 33701-4734
Phone
(727) 893-6435
Fax
(727) 893-6436
NPI assigned
Jul 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS16291 FL Primary

Addresses

Primary practice location

603 7TH St S Ste 400
St Petersburg, FL 33701-4734

Mailing address

603 7TH St S Ste 400
St Petersburg, FL 33701-4734
Phone (727) 893-6435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040105000007 NJ Practitioner - Neurology 0648179127 Reassigns benefits to 1 organization
I20191126001080 FL Practitioner - Neurology 0648179127 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Nova Southeastern College of Osteo Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

300 Pinellas St
Clearwater, FL 33756-3804
Phone (727) 461-8231

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS16291FLMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ohi West Medical Group, LLC CurrentSince May 1, 2022 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Aug 23, 2023 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Ohi West Medical Group, LLC CurrentSince May 1, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2020 Accepting new patients
Baycare Medical Group, Inc. Neurology CurrentSince Aug 23, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2020 Accepting new patients

Locations

300 Pinellas St
#47
Clearwater, FL 33756
Phone (727) 462-7907

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

603 7th St S
Ste 400
St Petersburg, FL 33701
Phone (727) 329-1600

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

42 E Laurel Rd
Ste 3500
Stratford, NJ 08084
Phone (856) 566-7040

42 E Laurel Rd
Ste 3100
Stratford, NJ 08084
Phone (856) 566-2753

218 Sunset Rd
Fl 5
Willingboro, NJ 08046
Phone (609) 444-0359

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: sean.hubbarddo@direct.mybaycare.org
  • Direct secure messaging: shubbard348045@orlandohealth.medalliesdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1598779670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 400",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014734",
            "telephone_number": "727-893-6435",
            "fax_number": "727-893-6436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 7TH ST S STE 400",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014734",
            "telephone_number": "727-893-6435",
            "fax_number": "727-893-6436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "SEAN",
        "middle_name": "T",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS16291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.