SAMUEL JOHN HUBER (MD) – Clinical Neuropsychologist, NPI 1972645026

SAMUEL JOHN HUBER (MD) is a healthcare provider. based in Puyallup, Washington. specializing in Clinical Neuropsychologist. They hold the professional credentials MD. They hold a License No. 258121 (NY). The NPI Number for SAMUEL JOHN HUBER (MD) is 1972645026

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
SAMUEL JOHN HUBER (MD)
NPI
1972645026
Phone
(253) 697-8400
Address
325 E PIONEER
Enumeration Date
13 February 2007
Last Update Date
26 February 2016

Doctor Profile

Medical School Name
UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Secondary Phone
5852753569
Graduation Year
2004 (22 years ago)
PAC ID
3173711736
Group Practice PAC ID
3173420429
Professional Enrollment ID
I20101223000071
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience75
Completeness75
Years active:19State licenses:3Digital endpointsOther names

Provider Addresses for SAMUEL JOHN HUBER (MD)

  • 325 E PIONEER

    PUYALLUP, WA 983723265

    Phone: (253) 697-8400

    Fax: (253) 697-3730

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98372)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173420429View full group profile
NameSpecialtyState
-NY
Internal MedicineNY
P S Y C H I A T R YNY
Family PracticeNY
Nurse PractitionerNY
P S Y C H I A T R YNY
Clinical PsychologistMI
P S Y C H I A T R YNY
-NY
-NY

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Frequently asked questions

What is the 10-digit NPI for SAMUEL JOHN HUBER (MD)?
SAMUEL JOHN HUBER (MD) — NPI 1972645026 — is the standard way to identify this listing.
Can I rely on SAMUEL JOHN HUBER (MD) being an active provider?
As of the registry snapshot, SAMUEL JOHN HUBER (MD) is marked active.
What healthcare role does SAMUEL JOHN HUBER (MD) hold?
Scheduling teams often label SAMUEL JOHN HUBER (MD) under Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where is SAMUEL JOHN HUBER (MD) based?
SAMUEL JOHN HUBER (MD) is tied to Puyallup, Washington in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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