Organization Active NPI

Sebastian O. Hubbuch III M.D.

Doing business as Chattahoochee Valley Cardiology M.D., P.C.

  • Cardiovascular Disease Physician
  • Columbus, GA
National Provider Identifier
1740227180
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
SEBASTIAN O. HUBBUCH III M.D.
Doing business as
Chattahoochee Valley Cardiology M.D., P.C.
Practice address
3808 Gentian Blvd
Columbus, GA 31907-1147
Phone
(706) 565-7382
Fax
(706) 565-9110
NPI assigned
Jun 2, 2006
Last updated
Jan 25, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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

Authorized official

Name
Sebastian O. Hubbuch III, M.D.NPI 1811994403
Title
President
Phone
(706) 565-7382

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

3808 Gentian Blvd
Columbus, GA 31907-1147

Mailing address

PO Box 8709
Columbus, GA 31908-8709
Phone (706) 565-7382

Other identifiers 10

IdentifierTypeStateIssuer
009934586MedicaidAL
1477752863OtherNPI
1477752863MedicaidAL
1841297728OtherGANPI
721581511AMedicaidGA
00390684FMedicaidGA
009911240MedicaidAL
1811994403OtherGANPI
5229902570MedicaidAL
353912753AMedicaidGA

Other names 1

  • Chattahoochee Valley Cardiology M.D., P.C. Doing business as

National Provider Directory

National Provider Directory

Locations

3808 Gentian Blvd
Columbus, GA 31907
Phone (706) 329-0300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327449600000",
    "number": "1740227180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8709",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088709",
            "telephone_number": "706-565-7382",
            "fax_number": "706-565-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3808 GENTIAN BLVD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319071147",
            "telephone_number": "706-565-7382",
            "fax_number": "706-565-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEBASTIAN O. HUBBUCH III M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2012-01-25",
        "status": "A",
        "authorized_official_last_name": "HUBBUCH",
        "authorized_official_first_name": "SEBASTIAN",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-565-7382",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009934586",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1477752863",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477752863",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1841297728",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "721581511A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00390684F",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009911240",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1811994403",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5229902570",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "353912753A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chattahoochee Valley Cardiology M.D., P.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.