Organization Active NPI

Kenneth C Huber, MD, LTD

  • Cardiovascular Disease Physician
  • Wexford, PA
National Provider Identifier
1760657027
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
038716E Issued in PA
Legal business name
KENNETH C HUBER, MD, LTD
Practice address
11676 Perry Hwy
Suite 1304
Wexford, PA 15090-7201
Phone
(724) 935-6633
Fax
(724) 935-2600
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Authorized official

Name
Dr. Kenneth C Huber, MD
Title
President
Phone
(724) 935-6633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 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 1

IdentifierTypeStateIssuer
0011105620005MedicaidPA

National Provider Directory

National Provider Directory

Locations

11676 Perry Hwy
Ste 1304
Wexford, PA 15090
Phone (412) 788-8007

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209427200000",
    "number": "1760657027",
    "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": {
        "organization_name": "KENNETH C HUBER, MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-29",
        "status": "A",
        "authorized_official_last_name": "HUBER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-935-6633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "038716E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011105620005",
            "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 Apr 29, 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.

Verify at the official NPI Registry.