417 Housecalls
NPI 1164016036ActiveOrganization· Physician Assistant· Springfield, MO
Physician Assistant in Springfield, Missouri, registered in NPPES in February 2021. The authorized official on file is Timothy Andrew Hubbard, PA-C, Physician Assistant.
Overview
| NPI | 1164016036 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 22, 2021 |
| Last updated in NPPES | Jan 16, 2023 |
| Certified by provider | Jan 16, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physician Assistant providers in Springfield
- 1124323001
- 1255638003
- 1487950127
- 1598629776
- 1093140030
- 1962264192
- 1710804067
- 1396541108
- 1164288387
- 1437149903
- 1477850964
- 1649337825