Individual provider Active NPI

Hubert C Huebl, M.D.

  • Surgery Physician
  • Dearborn, MI
National Provider Identifier
1710177852
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
31145 Issued in MA
Practice address
136 S Highland St
Dearborn, MI 48124-1444
Phone
(313) 359-0253
NPI assigned
Jul 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 31145 MA Primary

Addresses

Primary practice location

136 S Highland St
Dearborn, MI 48124-1444

Mailing address

136 S Highland St
Dearborn, MI 48124-1444
Phone (313) 359-0253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31145MAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dearborn Surgical Associates P.C. Surgery PastSince Jan 1, 2004 Accepting new patients
Oakwood Healthcare Group I, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1710177852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 S HIGHLAND ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241444",
            "telephone_number": "313-359-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 S HIGHLAND ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481241444",
            "telephone_number": "313-359-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBL",
        "first_name": "HUBERT",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "31145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.