Jason C Hubbard, D.O.
Individual provider Active NPI Family Medicine Physician · Early, TX
NPI 1699779348 · NPPES record last updated Apr 3, 2013
Key facts
- NPI
- 1699779348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L4978 (TX)
- Practice address
- 919 Early Blvd Ste 1C
Early, TX 76802-2208 - Phone
- (325) 646-9900
- Fax
- (325) 641-3109
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Providence Health Alliance
Concord Medical Group of Texas PLLC
Practice addresses (Care Compare)
301 Richland W Cir
Providence Internal Medicine Clinic
Waco, TX 76712-7932
Phone (254) 537-6200
400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (940) 325-7891
729 Sun Valley Blvd
Hewitt, TX 76643-3535
Phone (254) 537-6700
Hospital & facility affiliations
- Magnolia Home Health
- Ascension at Home
- Ascension Providence
- Palo Pinto General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040527000923 | TX | Practitioner - Family Practice |
2163403817 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Health Alliance | Current |
Accepting new patients | |
| Comanche County Medical Center Company | Current |
Accepting new patients | |
| Concord Medical Group PLLC | Current |
Accepting new patients | |
| Comanche County Medical Center Company | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Providence Health Alliance | Current |
Accepting new patients | |
| Regional Employee Assistance Program Inc | Family Medicine | Past | Accepting new patients |
| Heart of Texas Internal Medicine Associates, P.a. | Past | Accepting new patients | |
| Regional Employee Assistance Program Inc | Family Medicine | Past | Accepting new patients |
Locations
720 Hospital Dr
Andrews, TX 79714
Phone (432) 464-2200
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955
10201 Highway 16
Comanche, TX 76442
Phone (254) 879-4910
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141
729 Sun Valley Blvd
Ste A
Hewitt, TX 76643
Phone (254) 537-6700
729 Sun Valley Blvd
Ste B
Hewitt, TX 76643
Phone (254) 537-6000
1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
301 Richland West Cir
Waco, TX 76712
Phone (254) 537-6200
Interoperability endpoints
- jason.hubbard.1@25154.direct.athenahealth.com
- jchubbar@yourcarecommunity.org
- jason.hubbard.2@9635.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L4978 | TX | Yes |
Addresses
Primary practice location
919 Early Blvd Ste 1C
Early, TX 76802-2208
Mailing address
1749 Pine St
Abilene, TX 79601-3043
Phone (325) 646-9900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00108951 | Other | TX | RR MEDICARE # |
| 8M7060 | Other | TX | BCBS IND # |
| 153813408 | Medicaid | TX |
Other providers in Early, TX
- Heart of Texas Internal Medicine Associates, PA
- Heartland Chiropractic, LLC
- Heartland Coop
- Hendrick Medical Center Brownwood
- Hope for Tomorrow, Inc
- Amanda Laine King
- Scott David King
- Terry Glen Landrum
- Robert Christian Lehman
- Chama Martin
All providers in Early, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.