MARK W HUBBELL (NPI# 1457372831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457372831 |
| Entity Type | Individual |
| Full Name | MARK W HUBBELL |
| Credential | MD |
| Practice Address |
4102 Pinion Dr Us Air Force CO 80840 |
| Mailing Address |
4102 Pinion Dr Usaf Academy CO 80840-2502 |
| Practice Telephone | 7193335299 |
| Mailing Telephone | 7193335299 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
MD2011-0113 | NM | Allopathic & Osteopathic Physicians |
| N | 208D00000X | General Practice | 10084 | ND | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TRICARE | 1457372831 | 01 |
| Street Address |
4102 PINION DR |
| City | US AIR FORCE |
| State | CO |
| Zip Code | 80840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003470089 | Rebecca Van Winkle | Registered Nurse | 4102 Pinion Dr, Us Air Force, CO 80840-2502 | 2019-04-25 |
| 1255840724 | Laura Eberle | Physical Therapist | 4102 Pinion Dr, Us Air Force, CO 80840-2502 | 2017-09-27 |
| 1770960676 | Brian Bruce Cameron | Social Worker | 4102 Pinion Dr, Us Air Force, CO 80840-2502 | 2015-04-29 |
| 1003258047 | Jeanette Mason Bachmann | Pediatrics | 4102 Pinion Dr, Us Air Force, CO 80840-2502 | 2013-07-18 |
| 1023200524 | Evan Matthew Jones | Orthopaedic Surgery | 4102 Pinion Dr, Us Air Force, CO 80840-2502 | 2007-08-17 |
| 1053410860 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | 4102 Pinion Dr, 4th Floor, Us Air Force, CO 80840-2502 | 2006-09-21 |
| 1437103702 | Jennifer Ann Johnson | Physician Assistant | 4102 Pinion Dr, Us Air Force, CO 80840-2502 | 2006-05-20 |
| 1447245550 | Thomas William Stamp | Surgery | 4102 Pinion Dr, Us Air Force, CO 80840-2502 | 2005-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554011 | Christina Dang | Student in an Organized Health Care Education/Training Program | 4355-b Faculty Drive, Us Air Force Academy, CO 80840 | 2020-03-23 |
| 1053893123 | Glen William Myers | Dentist | 2355-b Faculty Dr, Usaf Academy, Colorado, Usafa, AA 80840 | 2018-09-05 |
| 1225374499 | National Vision Optical | Technician/Technologist | Bldg 5136, Community Center Dr., Us Air Force Academy, CO 80840 | 2012-12-17 |
| 1366758906 | Brett Michael Germain | Dentist | 2355-b Faculty Dr., Usaf Academy, CO 80840 | 2010-08-20 |
| 1518289115 | Renee Jean Cole | Military Health Care Provider | 4515 East Juniper Dr Unit A, Usaf Academy, CO 80840 | 2010-02-23 |
| 1063655140 | Gregory S. Brooks | Military Health Care Provider | 2355 Faculty Dr Suite 1n207, 10th Amds, Usafa, CO 80840 | 2009-04-20 |
| 1801092390 | Bryant Mcneill | Internal Medicine | 4102 Pinion 10mdg, Usaf Academy, CO 80840 | 2007-06-22 |
| 1447384383 | Francis Crosby Jr. | Physician Assistant | 4102 Pinon Drive, Usaf Academy, CO 80840 | 2007-03-15 |
| 1023115870 | Evans Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 5136 Eagle Dr, Ste 102, Usaf Academy, CO 80840 | 2006-09-20 |
| 1669582722 | Scott Layle Carbaugh | Physician Assistant | 4102 Pinion Dirve, Usaf Academy, CO 80840 | 2006-08-30 |
| Find all providers in zip 80840 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780282053 | Cardinal Pathology, PC | Pathology | 100 Pioneers Medical Center Drive, Pioneers Medical Center, Meeker, CO 81641 | 2020-10-09 |
| 1831707843 | Witting Medical, LLC | Pathology | 17 Dos Rios, Greeley, CO 80634 | 2020-07-15 |
| 1063853950 | William Clayton Dickey | Pathology | 12588 N Pine Cone Rd, Parker, CO 80138-8281 | 2013-07-09 |
| 1053665513 | Dean Frederick Kehmeier | Pathology | 19231 E Hinsdale Ln, Centennial, CO 80016-2147 | 2012-11-06 |
| 1609121722 | Jay Nichols Joy | Pathology | 555 Rivergate Ste B4-81, Durango, CO 81301-7485 | 2012-07-14 |
| 1861710030 | Julie Ann Rosser | Pathology | 12631 E 17th Ave # 80045, Academic Office 1, Room L15-2215, Mail Stop B-216, Aurora, CO 80045-2527 | 2010-05-12 |
| 1710117155 | Stephen Andre Goscin | Pathology | 9225 Chetwood Dr, Colorado Springs, CO 80920-5127 | 2009-07-20 |
| 1770726101 | Roger Paul Ilvonen | Pathology | 2337 S Youngfield Way, Lakewood, CO 80228-4970 | 2009-04-15 |
| 1811196819 | Martin K. Potash | Pathology | 695 S Broadway Ste 100, Denver, CO 80209-4003 | 2007-07-11 |
| 1871797076 | L. James Kennedy Jr. | Pathology | 304 Pinon Rd E, Ridgway, CO 81432-8934 | 2007-06-12 |
| Find all providers with the same taxonomy | ||||
| City | US AIR FORCE |
| Zip Code | 80840 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.