Provider Demographics
NPI:1467632133
Name:W. MICHAEL HUGHES M.D.
Entity Type:Organization
Organization Name:W. MICHAEL HUGHES M.D.
Other - Org Name:DRS ELMO & MICHAEL HUGHES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:502-447-4864
Mailing Address - Street 1:6503 DIXIE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40258-3097
Mailing Address - Country:US
Mailing Address - Phone:502-447-4864
Mailing Address - Fax:502-449-4505
Practice Address - Street 1:6503 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40258-3907
Practice Address - Country:US
Practice Address - Phone:502-447-4864
Practice Address - Fax:502-449-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY22350207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty