Roger Avon Hughes III, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

OS17053 Issued in FL

Practice address

4444 E Fletcher Ave Ste C
Tampa, FL 33613-4905

Phone

(813) 903-0060

Fax

(813) 903-1173

NPI assigned

Jun 30, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Florida State University

  • Children's Hospital
  • Pensacola, FL
  • NPI 1821244989
  NPD (past)
• Sacred Heart Health System, Inc.

  dba Ascension Medical Group Sacred Heart

  • Primary Care Clinic/Center
  • Pensacola, FL
  • NPI 1043261498
  NPD (past)
• Teena Hughes, M.D.,P.a.

  • Specialist
  • Tampa, FL
  • NPI 1730472069
  NPD (past)

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1619498581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134905",
            "telephone_number": "181-390-3006",
            "fax_number": "850-416-6729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 E FLETCHER AVE STE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336134905",
            "telephone_number": "813-903-0060",
            "fax_number": "813-903-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "ROGER",
        "middle_name": "AVON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-30",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS17053",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "UO5749",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "OS17053",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lucy Donna Hughes
• Mary Hughes
• Rebecca Hughes
• Rebekah Brianne Hughes
• Robin Roy Hughes III, MD
• Sara Nicole Hughes, APRN
• Sherry Thi Hughes
• Teena Lynn Hughes, M.D.
• Travis Gary Hughes, MD
• Hughey Behavioral Inc

• Pediatrics Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; 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.