Provider Demographics
NPI:1700896693
Name:HUFF, CARL WAYNE (MD)
Entity type:Individual
Prefix:DR
First Name:CARL
Middle Name:WAYNE
Last Name:HUFF
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6439 GARNERS FERRY ROAD
Mailing Address - Street 2:WJB DORN VA MEDICAL CENTER
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29209
Mailing Address - Country:US
Mailing Address - Phone:803-776-4000
Mailing Address - Fax:
Practice Address - Street 1:6439 GARNERS FERRY ROAD
Practice Address - Street 2:WJB DORN VA MEDICAL CENTER
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29209
Practice Address - Country:US
Practice Address - Phone:803-776-4000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD006673207X00000X
LAMD.205895207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN500019957Medicare ID - Type UnspecifiedRAILROAD MEDICARE
TNPALMETTO-DMEOther1081070001
TN3076756OtherBLUE CROSS
TN3161852Medicare ID - Type UnspecifiedMEDICAL INDIVIDUAL NUMBER
TNOS48227OtherUNITED HEALTHCARE
TN8108BOtherWAUSAU
TN406203598Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MS01925349Medicaid
TN61088888001OtherCHAMPUS/HUMANA
LA2324080Medicaid
LA277070YH3VMedicare PIN
TNC68078Medicare UPIN
TN3161852Medicaid