Individual provider Active NPI

Jeffrey G Huebner, M.D.

  • Anesthesiology Physician
  • Columbia, MO
National Provider Identifier
1821157785
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2005012175 Issued in MO
Practice address
1600 E Broadway
Columbia, MO 65201-5844
Phone
(573) 815-8000
NPI assigned
Dec 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2005012175 MO Primary

Addresses

Primary practice location

1600 E Broadway
Columbia, MO 65201-5844

Mailing address

1316 Old 63 S
Suite 102
Columbia, MO 65201-6092
Phone (573) 875-8838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20050923000230 MO Practitioner - Anesthesiology 5698709145 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Creighton University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northstar Anesthesia of Missouri LLCGroup PAC ID 4082908249, 88 clinicians
Mid-America Anesthesia Consultants PCGroup PAC ID 6305837626, 49 clinicians

Practice addresses (Care Compare)

100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-3729

1000 Carondelet Dr
Kansas City, MO 64114-4673
Phone (816) 943-2819

1600 E Broadway
Columbia, MO 65201-5844
Phone (573) 815-5511

Hospital & facility affiliations

  • Mercy Hospital Joplin Hospital, Joplin, MO, CCN 260001
  • Boone Hospital Center Hospital, Columbia, MO, CCN 260068
  • Mercy Hospital Carthage Hospital, Carthage, MO, CCN 261338

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005012175MOMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomed Staffing LLC Anesthesiology CurrentSince Dec 24, 2023 Accepting new patients
Northstar Anesthesia of Missouri, LLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Mid-America Anesthesia Consultants, PC Anesthesiology CurrentSince Aug 1, 2005 Accepting new patients
Mid-America Anesthesia Services, LLC Anesthesiology Past Accepting new patients

Locations

1316 Old Highway 63 S
Ste 102
Columbia, MO 65201
Phone (573) 875-8838

1600 E Broadway
Ste 60
Columbia, MO 65201

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

305 N Keene St
Ste 107
Columbia, MO 65201
Phone (573) 239-3310

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

211 NE 54th St
Ste 100
Kansas City, MO 64118
Phone (816) 455-4214

200 NE 54th St
Unit 200
Kansas City, MO 64118

4150 N Mulberry Dr
Ste 100
North Kansas City, MO 64116
Phone (816) 214-4364

4594 S Lindbergh Blvd
Saint Louis, MO 63127
Phone (314) 842-2607

10435 Clayton Rd
Ste 110
Saint Louis, MO 63131
Phone (314) 576-1400

1040 Old des Peres Rd
Saint Louis, MO 63131
Phone (314) 729-9780

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1165449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821157785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1316 OLD 63 S",
            "address_2": "SUITE 102",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016092",
            "telephone_number": "573-875-8838",
            "fax_number": "573-875-8589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E BROADWAY",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652015844",
            "telephone_number": "573-815-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEBNER",
        "first_name": "JEFFREY",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "2005012175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.