Individual provider Active NPI

Stephen Hubbard Jr., DO

  • Psychiatry Physician
  • Medford, OR
National Provider Identifier
1679911432
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
OS12831 Issued in FL
Practice address
691 Murphy Rd 2ND Floor
Medford, OR 97504-4311
Phone
(541) 789-4078
Fax
(541) 789-3037
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X U03324 FL
Psychiatry Physician 2084P0800X OS12831 FL Primary

Addresses

Primary practice location

691 Murphy Rd 2ND Floor
Medford, OR 97504-4311

Mailing address

2825 E Barnett Rd
MSS
Medford, OR 97504-8332
Phone (541) 789-4281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160614002688 OR Practitioner - Psychiatry 1658696794 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians

Practice addresses (Care Compare)

691 Murphy Rd
Suite 218
Medford, OR 97504-4311
Phone (541) 789-4078

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U03324FLMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Asante Physician Partners Psychiatry CurrentSince Aug 21, 2017 Accepting new patients
Lane County Oregon CurrentSince Apr 23, 2021 Accepting new patients

Locations

2411 Martin Luther King Jr Blvd
Eugene, OR 97401
Phone (541) 682-3608

1022 Green Acres Rd
Eugene, OR 97408
Phone (541) 682-3551

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

691 Murphy Rd
Ste 218
Medford, OR 97504
Phone (541) 770-2491

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

691 Murphy Rd
Fl 2
Medford, OR 97504
Phone (541) 789-4078

2073 Olympic St
Springfield, OR 97477
Phone (541) 682-3530

Interoperability endpoints

  • Direct secure messaging: shubbard258375@direct.peacehealth.org

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.

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": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1679911432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 E BARNETT RD",
            "address_2": "MSS",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048332",
            "telephone_number": "541-789-4281",
            "fax_number": "541-789-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 MURPHY RD 2ND FLOOR",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975044311",
            "telephone_number": "541-789-4078",
            "fax_number": "541-789-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "STEPHEN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "U03324",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "OS12831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.