DR. EDWARD A HUBACH (NPI# 1821091331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821091331 |
| Entity Type | Individual |
| Full Name | DR. EDWARD A HUBACH |
| Credential | D.O. |
| Practice Address |
6255 Chambersburg Road Huber Heights OH 45424 |
| Mailing Address |
2912 Springboro W Ste 201 Dayton OH 45439-1674 |
| Practice Telephone | 9372337141 |
| Practice Fax Number | 9372331956 |
| Mailing Telephone | 9372978999 |
| Mailing Fax Number | 9372974852 |
| Enumeration Date | 2005-05-30 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 34002371H | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0279087 | 05 | |
| OH | UNITED HEALTHCARE | 0120089 | 01 |
| OH | RAILROAD MEDICARE | 080191719 | 01 |
| OH | MEDICAL LICENSE | 34002371 | 01 |
| OH | AETNA | 635756 | 01 |
| OH | HUMANA/CHOICECARE | D0237103 | 01 |
| OH | DEPT. OF LABOR WC | 220226705 | 01 |
| OH | ANTHEM | 000000227899 | 01 |
| OH | CARESOURCE | 421534506094 | 01 |
| Street Address |
6255 CHAMBERSBURG ROAD |
| City | HUBER HEIGHTS |
| State | OH |
| Zip Code | 45424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215402409 | Julie Ann Robinson | Case Manager/Care Coordinator | 7502 Mount Whitney, Huber Heights, OH 45424 | 2018-10-04 |
| 1275061103 | Thalia Duncan-alexander | Rehabilitation Counselor | 5414 Quisenberry Dr., Dayton, OH 45424 | 2017-05-23 |
| 1487181574 | Caitlyn Anne Frantz | Family Medicine | 6255 Chambersburg Rd Ste 2, Dayton, OH 45424 | 2017-05-19 |
| 1942736111 | Jessica Winkler | Registered Nurse | 1771 Old Palmer Road Nw, Washington Court House, OH 45424 | 2017-05-10 |
| 1679029417 | Heather Marlow | Pharmacy Technician | 5300 Executive Blvd, Huber Heights, OH 45424 | 2016-08-31 |
| 1124471545 | Jeffrey Penny | Nurse Practitioner | 8290 Old Troy Pike Ste 40a, Huber Heights, OH 45424 | 2016-07-20 |
| 1619344330 | Tamika Nicole Wood | Home Health Aide | 5602 Troy Villa Blvd, Huber Heights, OH 45424 | 2015-08-28 |
| 1730505983 | Stephanie D. Bihn | Speech-Language Pathologist | 5954 Longford Road, Huber Heights, OH 45424 | 2014-03-12 |
| 1003248170 | Federated Medical Supplies, LLP | Durable Medical Equipment & Medical Supplies | 5053 Pepper Dr., Dayton, OH 45424 | 2013-07-31 |
| 1710200431 | William D Folk | Pharmacist | 5045 Heather Way, Dayton, OH 45424 | 2010-03-09 |
| Find all providers in zip 45424 | ||||
| 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 |
|---|---|---|---|---|
| 1649335571 | Shafik Ahmad | Family Medicine | 6750 Brandt Pike, Suite 3, Huber Heights, OH 45424-3477 | 2006-12-22 |
| 1053368910 | H. Todd Kepler | Family Medicine | 8638 Old Troy Pike Ste A, Huber Heights, OH 45424-1051 | 2006-05-27 |
| 1710941513 | Robert B Harrington | Family Medicine | 8638 Old Troy Pike, Suite 103, Huber Heights, OH 45424-0215 | 2006-04-17 |
| 1639140957 | Anne Marie Reddy | Family Medicine | 8501 Old Troy Pike, Huber Heights, OH 45424-1054 | 2006-01-27 |
| 1245228014 | Stephanie M Fronista-ward | Family Medicine | 6096 Brandt Pike, Huber Heights, OH 45424-4015 | 2005-10-06 |
| 1154323368 | Joni M Koren | Family Medicine | 8701 Troy Pike, Suite 10, Huber Heights, OH 45424-1066 | 2005-06-01 |
| 1003819525 | Barbara A Bennett | Family Medicine | 8701 Old Troy Pike, Ste 50, Huber Heights, OH 45424-1055 | 2005-05-30 |
| 1750892717 | Carrie Lynn Evans | Family Medicine | 8701 Troy Pike, Huber Heights, OH 45424-1066 | 2017-10-18 |
| 1053861369 | Machuca Medical | Family Medicine | 7371 Brandt Pike, Suite D, Huber Heights, OH 45424 | 2016-10-11 |
| 1639451941 | Alliance Physician Inc | Family Medicine | 7391 Brandt Pike, Suite A, Huber Heights, OH 45424-3277 | 2011-09-13 |
| Find all providers in HUBER HEIGHTS | ||||
| City | HUBER HEIGHTS |
| Zip Code | 45424 |
Please comment or provide details below to improve the information on DR. EDWARD A HUBACH.
| 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.