MR. GROVER CLEVELAND HUBLEY JR. (NPI# 1720197437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720197437 |
Entity Type | Individual |
Full Name | MR. GROVER CLEVELAND HUBLEY JR. |
Credential | MD |
Practice Address |
813 South State Street Suite 100 Madisonville TX 77864 |
Mailing Address |
1427 Old Mill Lane Madisonville TX 77864 |
Practice Telephone | 9363483515 |
Practice Fax Number | 9363483163 |
Mailing Telephone | 9363483515 |
Mailing Fax Number | 9363483163 |
Enumeration Date | 2006-08-29 |
Last Update Date | 2011-10-24 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | E4423 | TX | Allopathic & Osteopathic Physicians |
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
E4423 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GROUP NPI | 1669557179 | 01 | |
TX | 130980904 | 05 | |
TX | SCOTT & WHITE | 93043 | 01 |
Street Address |
813 SOUTH STATE STREET SUITE 100 |
City | MADISONVILLE |
State | TX |
Zip Code | 77864 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437429065 | Traditions Health Care of Madisonville, LLC | Home Health | 1608 East Main Street, Suite 115, Madisonville, TX 77864 | 2012-01-12 |
1568585982 | Michael Freeman Lee | Counselor | 404 N. May, Suite- C, Madisonville, TX 77864 | 2007-04-09 |
1659452654 | Kelly Elizabeth Morgan | Counselor | 813 South State Street, Ste. 100, Madisonville, TX 77864 | 2006-10-17 |
1457463820 | Mac L Bennett IIi Dds Inc | Dentist | 714 B South Madison, Madisonville, TX 77864 | 2006-08-31 |
1619971348 | Robert Thomas Tieperman | Chiropractor | 604 South Madison, Madisonville, TX 77864 | 2005-06-10 |
1588776959 | Mark Leon Bennett | Dentist | 714 B South Madison, Madisonville, TX 77864 | 2006-08-31 |
1407968803 | Mac Leon Bennett IIi | Dentist | 714 B South Madison, Madisonville, TX 77864 | 2006-08-31 |
1629321310 | Laquita Clewis | Counselor | 207 N Panama St, Madisonville, TX 77864-1546 | 2012-10-18 |
1497803407 | Walkers Pharmacy | Pharmacy | 112 W Main St, Madisonville, TX 77864-1905 | 2007-01-08 |
1679751002 | Kelle Dawn Harper | Nurse Practitioner | 220 W Trinity St, Madisonville, TX 77864-1914 | 2008-02-07 |
Find all providers in zip 77864 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952723165 | S&t Beverley, LLC | Family Medicine | 321 Tellico St S, Madisonville, TN 37354-1194 | 2014-01-08 |
1285955443 | Madisonville Medical Corp. | Family Medicine | 216 Hwy 21, Madisonville, LA 70447 | 2010-06-22 |
1457510646 | Sheila Ann Maddox | Family Medicine | 402 Saint Tammany St, Madisonville, LA 70447-9713 | 2008-06-03 |
1760660765 | John Haastrup | Family Medicine | 912 N Kentucky Ave # A16, Madisonville, KY 42431-1663 | 2008-02-01 |
1508803370 | Family Practice Associates, PC | Family Medicine | 4233 Highway 411, Madisonville, TN 37354-1571 | 2006-06-01 |
1083651533 | Tracey D Beverley | Family Medicine | 321 Tellico Street, Madisonville, TN 37354-1194 | 2006-06-01 |
1952354524 | Horizon Clinic LLC | Family Medicine | 435 N Kentucky Ave, Madisonville, KY 42431-1768 | 2006-05-18 |
1114988094 | Mary Helen Morrow | Family Medicine | 604 S Madison St, Madisonville, TX 77864-1956 | 2006-03-30 |
1487615787 | Stacey B. Fazenbaker | Family Medicine | 240 Ayer Pkwy E, Madisonville, KY 42431-8999 | 2006-03-28 |
1306813431 | Diana M. Stulc, Psc | Family Medicine | 444 S Main St, Madisonville, KY 42431-2871 | 2006-03-08 |
Find all providers in MADISONVILLE |
City | MADISONVILLE |
Zip Code | 77864 |
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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.