Active NPI
Kenneth C Huber, MD, LTD
- Cardiovascular Disease Physician
- Wexford, PA
National Provider Identifier
1760657027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 038716E
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0011105620005 | Medicaid | PA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Cardiovascular Disease Physician
- Pittsburgh, PA
- NPI 1154363828
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.