Active NPI
Richard a Dube
- General Practice Physician
- Stuart, FL
National Provider Identifier
1902204860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ME36471
- Legal business name
- RICHARD A DUBE
- Practice address
- 1500 SE Palm Beach Rd
Stuart, FL 34994-4044 - Phone
- (772) 631-6265
- NPI assigned
- Dec 9, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Richard A Dube, M.D.
- Title
- Owner
- Phone
- (772) 223-0983
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ME36471 | FL | Primary |
Addresses
Primary practice location
1500 SE Palm Beach Rd
Stuart, FL 34994-4044
Mailing address
7 Country Club Cir
Tequesta, FL 33469-2006
Phone (772) 631-6265
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0669601 | Medicaid | FL |
Other names 1
- Richard A Dube MD SNFS
National Provider Directory
National Provider DirectoryLocations
1500 SE Palm Beach Rd
Stuart, FL 34994
Phone (561) 745-3893
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Port Saint Lucie, FL
- NPI 1295708006
-
- Family Nurse Practitioner
- Stuart, FL
- NPI 1790971356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418083200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1430352000000",
"number": "1902204860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 COUNTRY CLUB CIR",
"city": "TEQUESTA",
"state": "FL",
"postal_code": "334692006",
"telephone_number": "772-631-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 SE PALM BEACH RD",
"city": "STUART",
"state": "FL",
"postal_code": "349944044",
"telephone_number": "772-631-6265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD A DUBE",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-09",
"last_updated": "2015-04-30",
"status": "A",
"authorized_official_last_name": "DUBE",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "772-223-0983",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "ME36471",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0669601",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Richard A Dube MD SNFS",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.