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NPI Code Detail

MEDICARE: ROBERT G MCHENDRIX III D.P.M.

MEDICARE:   ROBERT G MCHENDRIX III D.P.M.
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
1213E00000XPodiatrist00125KY
2213ES0131XFoot Surgery Podiatrist00125KY
3213ER0200XRadiology PodiatristK0125KY
4335E00000XProsthetic/Orthotic SupplierK0125KY
5332B00000XDurable Medical Equipment & Medical SuppliesK0125KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
30247710001OTHERKYMEDICARE DME
7406480106OTHERKYRAILROAD MEDICARE UHC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4958792OTHERKYAETNA
5000000033272OTHERKYANTHEM BCBS
627-80420OTHERKYUNITED HEALTHCARE
8K0125OTHERKYHUMANA/CHOICE CARE

General Provider Information

NPI Number : 1497752612
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT G MCHENDRIX III D.P.M.
Provider Business Mailing Address
First Line : 3126 DIXIE HWY
Second Line :
City : ERLANGER
State : KY
Zip : 41018-1866
Country : US
Telephone Number : 859-331-4777
Fax Number : 859-341-3133
Provider Business Practice Location Address
First Line : 3126 DIXIE HWY
Second Line : SUITE 10
City : ERLANGER
State : KY
Zip : 41018-1866
Country : US
Telephone Number : 859-331-4777
Fax Number : 859-341-3133
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2005
Last Update Date : 07/03/2013

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