Individual provider Active NPI

Herman G. Stubbe, M.D.

  • Family Medicine Physician
  • Locust Grove, VA
National Provider Identifier
1760416309
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101049469 Issued in VA
Practice address
4376 Germanna Hwy
Locust Grove, VA 22508
Phone
(540) 972-7798
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101049469 VA Primary

Addresses

Primary practice location

4376 Germanna Hwy
Locust Grove, VA 22508

Mailing address

4376 Germanna Hwy
Locust Grove, VA 22508
Phone (540) 972-7798

Other identifiers 1

IdentifierTypeStateIssuer
5624312MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100826000788 VA Practitioner - Family Practice 2860516911 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Sep 27, 2012 Accepting new patients
Medexpress Urgent Care, PC - Virginia Family Medicine CurrentSince Sep 27, 2012 Accepting new patients
Culpeper Medical Associates, LLC Past Accepting new patients

Locations

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

Organizations & group practices 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1760416309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4376 GERMANNA HWY",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "22508",
            "telephone_number": "540-972-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4376 GERMANNA HWY",
            "city": "LOCUST GROVE",
            "state": "VA",
            "postal_code": "22508",
            "telephone_number": "540-972-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBE",
        "first_name": "HERMAN",
        "middle_name": "G.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101049469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5624312",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, VA

Sources for this page

Verify at the official NPI Registry.