Eric James Abbenhaus, MD
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Lexington, KY
NPI 1689202046 · NPPES record last updated Mar 31, 2020
Key facts
- NPI
- 1689202046
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 740 S Limestone Room K403
Lexington, KY 40536-0001 - Phone
- (859) 218-3044
- Fax
- (859) 257-1561
- NPI assigned
- Mar 31, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210909000518 | KY | Order and Referring Only - Orthopedic Surgery |
3072919588 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
740 S Limestone Room K403
Lexington, KY 40536-0001
Mailing address
740 S Limestone Room K403
Lexington, KY 40536-0293
Phone (859) 218-3044
Other providers in Lexington, KY
- Johan David Aasbo
- Hicham Tarik Abada
- Miguel Antonio Abascal III
- Timur Abashev
- Syed Haider Abbas
- Devin Aili Abbott
- Jo A. Abbott
- Malinda C Abbott
- Whitney Elizabeth Abbott
- Kristin L Abboud
All providers in Lexington, KY · Student in an Organized Health Care Education/Training Program in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.