Individual provider Active NPI

Robert Michael Huber, PA

  • Physician Assistant
  • Pensacola, FL
National Provider Identifier
1649266719
Registry record updated Dec 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9103872 Issued in FL
Practice address
9400 University Pkwy
Suite 309
Pensacola, FL 32514-5752
Phone
(850) 479-3320
Fax
(850) 479-8789
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 004086 GA
Physician Assistant 363A00000X PA 9103872 FL Primary

Addresses

Primary practice location

9400 University Pkwy
Suite 309
Pensacola, FL 32514-5752

Mailing address

4523 Northpointe PL
Pensacola, FL 32514-6644
Phone (850) 479-3320

Other identifiers 1

IdentifierTypeStateIssuer
812106050BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070228000400 FL Practitioner - Physician Assistant 0244211803

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
004086GAMDEmergency Medicine Physician
PA 9103872FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Niceville Urgent Care LLC CurrentSince Oct 6, 2014 Accepting new patients
Southwestern Emergency Physicians PC Emergency Medicine Past Accepting new patients

Locations

906 Palm Blvd S
Niceville, FL 32578
Phone (850) 517-9851

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7208/brand/2/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261526400000",
    "number": "1649266719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4523 NORTHPOINTE PL",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325146644",
            "telephone_number": "850-479-3320",
            "fax_number": "850-479-8789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 UNIVERSITY PKWY",
            "address_2": "SUITE 309",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325145752",
            "telephone_number": "850-479-3320",
            "fax_number": "850-479-8789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBER",
        "first_name": "ROBERT",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2009-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "004086",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9103872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "812106050B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.