PETER C HENTZEN PHD. M.D. NPI 1629072061

NPI Information

NPI: 1629072061
Provider Name: PETER C HENTZEN, PHD., M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Address:
530 S JACKSON ST
# C07
LOUISVILLE, KY
ZIP 40202
Phone: (502) 852-5875
Get Directions

Peter C Hentzen, PHD., M.D. is a diagnostic radiology radiology in Louisville, KY. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Peter C Hentzen, PHD., M.D. NPI is 1629072061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

530 S JACKSON ST
# C07
LOUISVILLE, KY
ZIP 40202-675
Phone: (502) 852-5875
Fax: (502) 852-1754

The enumeration date for this NPI number is 6/13/2005 and was last updated on 2/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085B0100X	Radiology	Body Imaging	34143	KENTUCKY	No
2	2085R0202X	Radiology	Diagnostic Radiology	34143	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0276144	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
2	0636106	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
3	64341431	MEDICAID	KENTUCKY
4	000000049954	OTHER	KENTUCKY	ANTHEM
5	G09339	MEDICARE UPIN	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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