1689850323 NPI number — RODGER B KUHN, D.P.M.. P.C.

Table of content: (NPI 1689850323)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1689850323 NPI number — RODGER B KUHN, D.P.M.. P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RODGER B KUHN, D.P.M.. P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1689850323
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/02/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
495 EAST WATERFRONT DRIVE
Provider Second Line Business Mailing Address:
SUITE 230
Provider Business Mailing Address City Name:
HOMESTEAD
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15120-1151
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-461-1108
Provider Business Mailing Address Fax Number:
412-461-5490

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
495 EAST WATERFRONT DRIVE
Provider Second Line Business Practice Location Address:
SUITE 230
Provider Business Practice Location Address City Name:
HOMESTEAD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15120-1151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-461-1108
Provider Business Practice Location Address Fax Number:
412-461-5490
Provider Enumeration Date:
01/11/2008

Additional Information

Authorized Official

Authorized Official Last Name:
KUHN
Authorized Official First Name:
RODGER
Authorized Official Middle Name:
B
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
412-461-1108

Provider Taxonomy Codes

  • Taxonomy code: 213ES0103X , with the licence number:  SC001533L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 127465 . This is a "MEDICARE LEGACY NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1689850323 . This is a "MC GROUP NPI NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1689850323 . This is a "INDIVIDUAL NPI NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 127465XXU . This is a "MC GROUP PROVIDER NUMBER" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 0005040430003 , issued by the state of ( PA ) . This identifiers is of the category "MEDICAID".




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