1447271283 NPI number — THOMAS HUHN MD

Table of content: THOMAS HUHN MD (NPI 1447271283)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1447271283 NPI number — THOMAS HUHN MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUHN
Provider First Name:
THOMAS
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

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:
1447271283
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/10/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 1650
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44309-1650
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-864-8900
Provider Business Mailing Address Fax Number:
330-869-8924

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3615 NEWBURG RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LOUISVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40218-3368
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
29-090-7725
Provider Business Practice Location Address Fax Number:
855-859-0123
Provider Enumeration Date:
07/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207P00000X , with the licence number:  39355 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 208D00000X , with the licence number: 39355 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 50005461 . This is a "PASSPORT" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: P00223358 . This is a "RR-MEDICARE" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 3810004516 , issued by the state of ( WV ) . This identifiers is of the category "MEDICAID".
  • Identifier: 64076615 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: 000000312281 . This is a "ANTHEM" identifier , issued by the state of ( KY ) . This identifiers is of the category "OTHER".
  • Identifier: 010243688 , issued by the state of ( VA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 4401035 , issued by the state of ( TN ) . This identifiers is of the category "MEDICAID".
  • Identifier: C48246 . This is a "CUMBERLAND" identifier , issued by the state of ( TN ) . This identifiers is of the category "OTHER".
  • Identifier: 3000121 . This is a "BWC" identifier , issued by the state of ( WV ) . This identifiers is of the category "OTHER".




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