Ronald C. Hubbard Sr., M.D. Apmc

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

License

018486 Issued in LA

Legal business name

RONALD C. HUBBARD SR., M.D. APMC

Practice address

3510 Magnolia CV Ste 180
Monroe, LA 71203-2370

Phone

(318) 340-9600

Fax

(318) 340-9675

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Rebecca D Tidwell

Title

Office Manager

Phone

(318) 340-9600

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Matilda Elliott Stephens, FNP

  • Family Nurse Practitioner
  • Monroe, LA
  • NPI 1003999459
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219190400000",
    "number": "1740437839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 MAGNOLIA CV STE 180",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032370",
            "telephone_number": "318-340-9600",
            "fax_number": "318-340-9675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 MAGNOLIA CV STE 180",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712032370",
            "telephone_number": "318-340-9600",
            "fax_number": "318-340-9675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD C. HUBBARD SR., M.D. APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "318-340-9600"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "LA",
            "license": "018486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "54549",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1377058",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chantel L Rollins
• Shari Dawn Rollins, RSW
• Sarah Lawrence Romero, M.S.
• Idar Eric Rommen, M.D.
• Michael C Rommen, DO
• Ronnie'S Care
• Aisha Rose
• Finley Rose, MS
• Glinda Rose
• Christina D Ross, NP

• Exclusive Provider Organization in Monroe, LA
• Providers in Monroe, LA by specialty
• Exclusive Provider Organization in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.