Active NPI
Timothy Hubbard, PA-C
- Medical Physician Assistant
- Springfield, MO
National Provider Identifier
1669889390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2014023848
- Practice address
- 1335 E Republic Rd Ste D
Springfield, MO 65804-7220 - Phone
- (417) 363-3900
- Fax
- (417) 313-9998
- NPI assigned
- Jul 15, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 2014023848 | MO | Primary |
Addresses
Primary practice location
1335 E Republic Rd Ste D
Springfield, MO 65804-7220
Mailing address
1335 E Republic Rd Ste D
Springfield, MO 65804-7220
Phone (417) 363-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- University of North Dakota School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
607 W Battlefield St
Springfield, MO 65807-4123
Phone (417) 869-2000
Hospital & facility affiliations
- Cox Medical Centers
- Mercy Hospital Springfield
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hartville Medical Center Inc | Past | Accepting new patients | |
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Physical Therapist
- Springfield, MO
- NPI 1770628620
-
- General Practice Physician
- Hartville, MO
- NPI 1609949403
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1093740128
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673827200000",
"number": "1669889390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1335 E REPUBLIC RD STE D",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658047220",
"telephone_number": "417-363-3900",
"fax_number": "417-313-9998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1335 E REPUBLIC RD STE D",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658047220",
"telephone_number": "417-363-3900",
"fax_number": "417-313-9998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBARD",
"first_name": "TIMOTHY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-15",
"last_updated": "2023-01-16",
"certification_date": "2023-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "MO",
"license": "2014023848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2023; 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; Opt Out Affidavits.
- 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.