Organization Active NPI

Hubbard Clinic & Center for Bladder Control, LLC

  • Specialist
  • Louisville, KY
National Provider Identifier
1689607129
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
HUBBARD CLINIC & CENTER FOR BLADDER CONTROL, LLC
Practice address
3924 S Dupont SQ
Louisville, KY 40207-5912
Phone
(502) 893-3510
Fax
(502) 894-9863
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. John G Hubbard, M.D.
Title
Governing Body / Owner
Phone
(502) 893-3510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

3924 S Dupont SQ
Louisville, KY 40207-5912

Mailing address

3924 S Dupont SQ
Louisville, KY 40207-5912
Phone (502) 893-3510

Other names 1

  • The Hubbard Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

313 E 1st St
Madison, IN 47250
Phone (812) 265-5595

3920 S DuPont Sq
#C
Louisville, KY 40207
Phone (502) 893-3510

3920 S DuPont Sq
Ste C
Louisville, KY 40207
Phone (502) 721-0116

166 N Hurstbourne Pkwy
Louisville, KY 40222
Phone (502) 200-1100

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1689607129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3924 S DUPONT SQ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075912",
            "telephone_number": "502-893-3510",
            "fax_number": "502-894-9863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 S DUPONT SQ",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402075912",
            "telephone_number": "502-893-3510",
            "fax_number": "502-894-9863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUBBARD CLINIC & CENTER FOR BLADDER CONTROL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "GOVERNING BODY / OWNER",
        "authorized_official_telephone_number": "502-893-3510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hubbard Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.