Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 32601 | KY |
N | 207XX0005X | Sports Medicine Orthopaedic Surgeon | 32601 | KY |
NPI | 1053344523 |
---|---|
Provider Name | Peter William Hester |
First Address | Lexington, KY 40504-3756 |
Second Address | Lexington, KY 40504-3756 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2006 |
Last Update Date | 02/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
36000818 | MEDICAID ASC GRP (01) | KY |
37903705 | MEDICAID LAB GRP (01) | KY |
4000501 | MEDICARE LAB GRP (01) | KY |
64053424 | (05) | KY |
ASC1019 | MEDICARE ASC GRP (01) | KY |
CB5773 | RR MEDICARE GRP (01) | GA |
H15922 | (02) |