Active NPI
George Peyton Hubbell, MD
- Obstetrics & Gynecology Physician
- Osage Beach, MO
National Provider Identifier
1821086760
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- R2P55
- Practice address
- 1055 Ozark Care Dr
Suite B
Osage Beach, MO 65065-3016 - Phone
- (573) 348-6101
- Fax
- (573) 348-6324
- NPI assigned
- Oct 13, 2005
- Last updated
- Sep 1, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | R2P55 | MO | Primary |
Addresses
Primary practice location
1055 Ozark Care Dr
Suite B
Osage Beach, MO 65065-3016
Mailing address
1055 Ozark Care Dr
Suite B
Osage Beach, MO 65065-3016
Phone (573) 348-6101
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821086760 | Medicaid | MO | |
| 431560263 | Other | MO | TRICARE WEST |
| 182724001 | Medicaid | AR | |
| P00825494 | Other | MO | RAILROAD MEDICARE-CB9013 |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R2P55 | MO | MD | Obstetrics & Gynecology Physician |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Lake Ozark, MO
- NPI 1023141975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1821086760",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1055 OZARK CARE DR",
"address_2": "SUITE B",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653016",
"telephone_number": "573-348-6101",
"fax_number": "573-348-6324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1055 OZARK CARE DR",
"address_2": "SUITE B",
"city": "OSAGE BEACH",
"state": "MO",
"postal_code": "650653016",
"telephone_number": "573-348-6101",
"fax_number": "573-348-6324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBBELL",
"first_name": "GEORGE",
"middle_name": "PEYTON",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-13",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "R2P55",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821086760",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE WEST",
"identifier": "431560263",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182724001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE-CB9013",
"identifier": "P00825494",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Osage Beach, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.