Robert Harry Huddle Jr., M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

120546-7 Issued in NY

Practice address

200 Madison Ave
Suite 2C
Elmira, NY 14901-3218

Phone

(607) 737-6869

Fax

(607) 737-8054

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Guthrie Medical Group, P.C.

  • General Practice Physician
  • Sayre, PA
  • NPI 1245246644
  NPD (past)

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193184000000",
    "number": "1700806494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 W CLINTON ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052228",
            "telephone_number": "607-734-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MADISON AVE",
            "address_2": "SUITE 2C",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149013218",
            "telephone_number": "607-737-6869",
            "fax_number": "607-737-8054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDDLE",
        "first_name": "ROBERT",
        "middle_name": "HARRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2007-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "120546-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CC8362",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "P00393472",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00372358",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Howe, LPN
• Trina Howe
• Sarah Baker Howey, OTR/L
• Karen Marie Hubbard- Immerman
• Jayne M Huber, RN
• Anna Charlotte Huebschmann
• William E Huffner, M.D.
• Fawn Elaine Hughes, RN
• Kimberly Ann Hughes, BA
• Elizabeth Hulett, RN

• Surgery Physician in Elmira, NY
• Providers in Elmira, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.