NPIMap

Organization Active NPI

Union County Physician Corporation

  • Otolaryngology Physician
  • Marysville, OH
National Provider Identifier
1992941108
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35083442 Issued in OH
Legal business name
UNION COUNTY PHYSICIAN CORPORATION
Practice address
500 London Ave
Marysville, OH 43040-3570
Phone
(937) 578-2020
NPI assigned
Dec 18, 2008
Last updated
Feb 14, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Authorized official

Name
Mr. Olas A Hubbs III
Title
President & Ceo
Phone
(937) 644-6115

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 35088287 OH
Otolaryngology Physician 207Y00000X 35083442 OH Primary
Surgery Physician 208600000X 34006399 OH

Addresses

Primary practice location

500 London Ave
Marysville, OH 43040-3570

Mailing address

500 London Ave
Marysville, OH 43040-5512
Phone (937) 644-6115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090507000672 OH Part B Supplier - Clinic/Group Practice 1557419173 Receives reassigned benefits from 153 practitioners
1 other NPI on this enrollment
Practice locations: Marysville, OH; Urbana, OH; Richwood, OH; Plain City, OH

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

140 Colemans Crossing Blvd
Marysville, OH 43040
Phone (937) 578-2650

140 Colemans Crossing Blvd
Ste 110
Marysville, OH 43040
Phone (937) 578-7950

17853 State Route 31
Ste A
Marysville, OH 43040

17853 State Route 31
Ste B
Marysville, OH 43040
Phone (937) 578-4004

500 London Ave
#D
Marysville, OH 43040

500 London Ave
Ste G
Marysville, OH 43040

660 London Ave
Ste B
Marysville, OH 43040
Phone (937) 578-4580

480 S Jefferson Ave
Plain City, OH 43064
Phone (614) 873-0880

480 S Jefferson Ave
Ste 500
Plain City, OH 43064
Phone (614) 873-3434

1958 E US Highway 36
Ste C
Urbana, OH 43078
Phone (937) 652-1834

Practitioners & affiliated clinicians

Practitioners 158

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 158

NPI Registry JSON

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707868800000",
    "number": "1992941108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LONDON AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430405512",
            "telephone_number": "937-644-6115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LONDON AVE",
            "city": "MARYSVILLE",
            "state": "OH",
            "postal_code": "430403570",
            "telephone_number": "937-578-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNION COUNTY PHYSICIAN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "HUBBS",
        "authorized_official_first_name": "OLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "937-644-6115",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35088287",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "35083442",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "34006399",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.