Active NPI
Kenneth C Huber, MD
- Specialist
- Wexford, PA
National Provider Identifier
1023082633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 038716E
- Practice address
- 11676 Perry Hwy
Suite 1304
Wexford, PA 15090-7201 - Phone
- (724) 935-6633
- Fax
- (724) 935-2600
- NPI assigned
- Feb 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 038716E | PA | Primary |
Addresses
Primary practice location
11676 Perry Hwy
Suite 1304
Wexford, PA 15090-7201
Mailing address
11676 Perry Hwy
Suite 1304
Wexford, PA 15090-7201
Phone (724) 935-6633
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011105620005 | Medicaid | PA | |
| 060024001 | Other | PA | PALMETTO RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Bellevue Cardiology Associates | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1730254178
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218585600000",
"number": "1023082633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11676 PERRY HWY",
"address_2": "SUITE 1304",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907201",
"telephone_number": "724-935-6633",
"fax_number": "724-935-2600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11676 PERRY HWY",
"address_2": "SUITE 1304",
"city": "WEXFORD",
"state": "PA",
"postal_code": "150907201",
"telephone_number": "724-935-6633",
"fax_number": "724-935-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUBER",
"first_name": "KENNETH",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-13",
"last_updated": "2008-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "PA",
"license": "038716E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0011105620005",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PALMETTO RAILROAD MEDICARE",
"identifier": "060024001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wexford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.