Active NPI
Judith Richardson Lubbers, M.D.
- Family Medicine Physician
- Columbus, OH
National Provider Identifier
1639128440
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35054890L
- Practice address
- 1166 Dublin Rd Ste 400
Columbus, OH 43215-1081 - Phone
- (740) 380-8344
- NPI assigned
- May 9, 2006
- Last updated
- Dec 5, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35054890L | OH | Primary |
Addresses
Primary practice location
1166 Dublin Rd Ste 400
Columbus, OH 43215-1081
Mailing address
22498 Clay Lick Rd
Logan, OH 43138-9749
Phone (740) 380-9241
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0945062 | Medicaid | OH | |
| 000000367000 | Other | OH | BCBS |
| 000000315927 | Other | HOCKING BCBS | |
| P00252404 | Other | MEDICARE RR HOCKING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35054890L | OH | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1639128440",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22498 CLAY LICK RD",
"city": "LOGAN",
"state": "OH",
"postal_code": "431389749",
"telephone_number": "740-380-9241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 DUBLIN RD STE 400",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432151081",
"telephone_number": "740-380-8344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBBERS",
"first_name": "JUDITH",
"middle_name": "RICHARDSON",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35054890L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0945062",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000367000",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOCKING BCBS",
"identifier": "000000315927",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RR HOCKING",
"identifier": "P00252404",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.