MEDICARE: LEONARD FIELD HUBBARD MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207XS0106X	Orthopaedic Hand Surgery Physician	RI5673	RI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	001072	OTHER	RI	BLUE CHIP OF RI
2	00000023643	OTHER	RI	BCBC OF RI
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1265499966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LEONARD FIELD HUBBARD MD

Provider Business Mailing Address
First Line	:	1150 RESERVOIR AVENUE
Second Line	:	STE 301
City	:	CRANSTON
State	:	RI
Zip	:	02920
Country	:	US
Telephone Number	:	401-942-0280
Fax Number	:	401-946-7230

Provider Business Practice Location Address
First Line	:	1150 RESERVOIR AVENUE
Second Line	:	STE 301
City	:	CRANSTON
State	:	RI
Zip	:	02920
Country	:	US
Telephone Number	:	401-942-0280
Fax Number	:	401-946-7230

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/27/2006
Last Update Date	:	12/14/2025

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