Individual provider Active NPI

Robert A Hudepohl, MD

  • Emergency Medicine Physician
  • Crestview Hills, KY
National Provider Identifier
1215464839
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
24802 Issued in KY
Practice address
2487 Legends Way
Crestview Hills, KY 41017-3480
Phone
(859) 866-3297
NPI assigned
May 12, 2017
Last updated
May 12, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 24802 KY Primary

Addresses

Primary practice location

2487 Legends Way
Crestview Hills, KY 41017-3480

Mailing address

2487 Legends Way
Crestview Hills, KY 41017-3480
Phone (859) 866-3297

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24802KYMDEmergency Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494547200000",
    "number": "1215464839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2487 LEGENDS WAY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173480",
            "telephone_number": "859-866-3297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2487 LEGENDS WAY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410173480",
            "telephone_number": "859-866-3297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDEPOHL",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KY",
            "license": "24802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.