Active NPI
Douglas H. Huber, P.A.
- Physician Assistant
- Eufaula, OK
National Provider Identifier
1942237797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 87
- Practice address
- 19 Kiamichi Rd
Eufaula, OK 74432-5228 - Phone
- (918) 452-2330
- Fax
- (918) 452-2335
- NPI assigned
- Jun 27, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 87 | OK | Primary |
Addresses
Primary practice location
19 Kiamichi Rd
Eufaula, OK 74432-5228
Mailing address
1 E Clark Bass Blvd
McAlester, OK 74501-4209
Phone (918) 426-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100710530B | Medicaid | OK |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 87 | OK | MD | Periodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1942237797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 E CLARK BASS BLVD",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745014209",
"telephone_number": "918-426-1800",
"fax_number": "918-421-6824"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 KIAMICHI RD",
"city": "EUFAULA",
"state": "OK",
"postal_code": "744325228",
"telephone_number": "918-452-2330",
"fax_number": "918-452-2335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "DOUGLAS",
"middle_name": "H.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-27",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OK",
"license": "87",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100710530B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Eufaula, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.