Wallace L Huff (NPI# 1184619314, PAC ID# 1254438203) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1184619314 |
| PAC ID by PECOS | 1254438203 |
| Professional Enrollment ID | I20070525000406 |
| Full Name | Wallace L Huff |
| Organization Legal Name | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
| Address |
1650 Bryan Station Rd Suite 110 Lexington KY 40505-2139 |
| Phone Number | 8592936133 |
| Gender | M |
| Credential | MD |
| Medical School | EASTERN VIRGINIA MEDICAL SCHOOL |
| Graduation Year | 1992 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Secondary Specialties | SPORTS MEDICINE |
| Group Practice PAC ID | 0345157293 |
| Number of Group Practice Members | 113 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180143 | SAINT JOSEPH EAST |
| 180115 | ROCKCASTLE COUNTY HOSPITAL, INC. |
| 180132 | LAKE CUMBERLAND REGIONAL HOSPITAL |
| 180011 | SAINT JOSEPH LONDON |
| 180101 | GEORGETOWN COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 101 Windsor Path, Suite 1, Georgetown, KY 40324-9617 | 8592635140 | BLUEGRASS ORTHOPAEDICS PSC |
| 1650 Bryan Station Rd, Suite 110, Lexington, KY 40505-2139 | 8592936133 | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
| 3480 Yorkshire Medical Park, Lexington, KY 40509-1886 | 8592635140 | BLUEGRASS ORTHOPAEDICS PSC |
| Organization Legal Name | KENTUCKY ORTHOPEDIC REHABILITATION LLC |
| Physicians | 104 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lyndsay Whitlock | Physical Therapy | Kentucky Orthopedic Rehabilitation LLC | 404 Shoppers Dr, Winchester, KY 40391-1378 |
| Katherine O Kinsel | Internal Medicine | Kentucky Orthopedic Rehabilitation LLC | 1547 Bypass Rd, Winchester, KY 40391-2714 |
| Brittany L Kersey | Physical Therapy | Kentucky Orthopedic Rehabilitation LLC | 543 Taylorsville Rd, Suite 101, Taylorsville, KY 40071-6766 |
| Daniel Colby Newsome | Physician Assistant | Kentucky Orthopedic Rehabilitation LLC | 5006 Atwood Dr, Suite 2, Richmond, KY 40475-8179 |
| Christine T Ko | Internal Medicine | Kentucky Orthopedic Rehabilitation LLC | 836 Euclid Ave, Suite 104, Lexington, KY 40502-1783 |
| Bryan M Honaker | Family Medicine | Kentucky Orthopedic Rehabilitation LLC | 815 Hillcrest Dr, Suite C, Brandenburg, KY 40108-1415 |
| Jill Ellen Crawford | Nurse Practitioner | Kentucky Orthopedic Rehabilitation LLC | 101 Eastside Dr A, Georgetown, KY 40324-8763 |
| Andrew W Ryan | Orthopedic Surgery | Kentucky Orthopedic Rehabilitation LLC | 1792 Alysheba Way, Suite 140, Lexington, KY 40509-2289 |
| Letitia A Carter | Physician Assistant | Kentucky Orthopedic Rehabilitation LLC | 3070 Lakecrest Cir, Suite 700, Lexington, KY 40513-1770 |
| Sanjiv Mehta | Orthopedic Surgery | Kentucky Orthopedic Rehabilitation LLC | 875 Pennsylvania Ave, Suite A, Bardstown, KY 40004-2529 |
| Street Address |
1650 BRYAN STATION RD SUITE 110 |
| City | LEXINGTON |
| State | KY |
| Zip | 40505-2139 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah L Hatfield | Nurse Practitioner | Kiosk Medicine Kentucky LLC | 1650 Bryan Station Rd, Lexington, KY 40505-2138 |
| Erin T Soper | Nurse Practitioner | Kiosk Medicine Kentucky LLC | 1650 Bryan Station Rd, Lexington, KY 40505-2138 |
| Samantha Marie Howard | Nurse Practitioner | Kiosk Medicine Kentucky LLC | 1650 Bryan Station Rd, Lexington, KY 40505-2138 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joey R Rose | Clinical Social Worker | Healthfirst Bluegrass Inc | 1640 Bryan Station Rd, Suite 1, Lexington, KY 40505-2144 |
| Justin Lane Adams | Internal Medicine | Healthfirst Bluegrass Inc | 1640 Bryan Station Rd, Suite 1, Lexington, KY 40505-2144 |
| Frances M Thom | Nurse Practitioner | Healthfirst Bluegrass Inc | 1640 Bryan Station Rd, Suite 1, Lexington, KY 40505-2144 |
| James Brad Long | Chiropractic | 1020 Industry Rd, Lexington, KY 40505-3829 | |
| Barry Leon Pelton | Chiropractic | 1132 Winchester Rd, Suite 125, Lexington, KY 40505-4042 | |
| Kenneth J Clare Jr. | Chiropractic | 1165 E New Circle Rd, Lexington, KY 40505-4150 | |
| Douglas A Kaffenberger | Diagnostic Radiology | Association of University Radiologists, PC | 1912 General Warfield Way, Lexington, KY 40505-4836 |
| Richard Joseph Simpson | Chiropractic | 1300 E New Circle Rd, Suite 160, Lexington, KY 40505-9001 |
| City | LEXINGTON |
| Zip Code | 40505 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | LEXINGTON + ORTHOPEDIC SURGERY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.