Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Mallory E Hubbard, PA

Individual provider Physician Assistant · NPI 1104478080

MS. Mallory E Hubbard, PA is a Physician Assistant in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Washington University, a 2,986-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2019
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1 Barnes Jewish Hospital Plz Div Surg Transplant
Saint Louis, MO 63110-1003
Phone: (314) 747-9889
Fax: (314) 361-4197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2020034088 (MO)

Record details

NPI number1104478080
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2019
Last updated in NPPESApril 17, 2025
Certification dateOctober 21, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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