MEDICARE: DISTLER, HUNTINGTON & BLAIR, PSC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1093034605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISTLER, HUNTINGTON & BLAIR, PSC

Provider Business Mailing Address
First Line	:	6400 WESTWIND WAY
Second Line	:
City	:	CRESTWOOD
State	:	KY
Zip	:	40014-6773
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6400 WESTWIND WAY
Second Line	:
City	:	CRESTWOOD
State	:	KY
Zip	:	40014-6773
Country	:	US
Telephone Number	:	502-243-2257
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. SUZANNE YATES
Credential	:
Telephone Number	:	502-243-2257

Provider Enumeration Date	:	05/21/2010
Last Update Date	:	08/26/2013

Similar Medicare Providers

1417945478 — DR. BRYAN M BLAIR MD
Practice Location Address:

6400 WESTWIND WAY
CRESTWOOD, KY
40014-6773

Practice Phone: 502-243-2227
Practice Fax: 502-243-2237

1326036385 — DR. JOHN A. DISTLER MD
Practice Location Address:

6400 WESTWIND WAY
CRESTWOOD, KY
40014-6773

Practice Phone: 502-243-2227
Practice Fax: 502-243-2237

1841289220 — DR. ANNE CHADBURN HUNTINGTON MD
Practice Location Address:

6400 WESTWIND WAY
CRESTWOOD, KY
40014-6773

Practice Phone: 502-243-2227
Practice Fax: 502-343-2237

1972652998 — DISTLER, HUNTINGTON & BLAIR PSC
Practice Location Address:

6400 WESTWIND WAY
CRESTWOOD, KY
40014-6773

Practice Phone: 502-243-2227
Practice Fax: 502-367-4020

1114182326 — DR. JASEN THOMAS PEDERSEN DPM
Practice Location Address:

6400 WESTWIND WAY , SUITE B
CRESTWOOD, KY
40014-6773

Practice Phone: 502-276-9999
Practice Fax: 502-276-9999

1376969105 — OLDHAM COUNTY FOOT & ANKLE PLLC
Practice Location Address:

6400 WESTWIND WAY , SUITE B
CRESTWOOD, KY
40014-6773

Practice Phone: 502-276-9999
Practice Fax:

Directions to “DISTLER, HUNTINGTON & BLAIR, PSC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.