Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 2003-00997 | NC |
N | 208600000X | Surgeon | 2003-00997 | NC |
Y | 208200000X | Surgeon | OS006127L | PA |
Y | 208600000X | Surgeon | OS006127L | PA |
N | 2086S0102X | Surgical Critical Care | OS006127L | PA |
N | 2086S0127X | Trauma Surgeon | OS006127L | PA |
NPI | 1235134628 |
---|---|
Provider Name | Dr. Kern Michael Hughes |
First Address | York, PA 17402-9001 |
Second Address | York, PA 17403-5049 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/06/2005 |
Last Update Date | 19/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001426602 | (05) | PA |
008387 | HIGHMARK BLUE SHIELD (01) | PA |
037472500 | (05) | MD |
1034988 | GATEWAY-WMG (01) | PA |
20093560 | AMERIHEALTH MERCY-WMG (01) | PA |
956449 | CAREFIRST MD BCBS (01) | MD |
A82371 | (02) | NC |