Provider Demographics
NPI:1770534232
Name:HYMES, WILLIAM A (MD)
Entity type:Individual
Prefix:
First Name:WILLIAM
Middle Name:A
Last Name:HYMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:201 ABRAHAM FLEXNER WAY
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40202-3849
Mailing Address - Country:US
Mailing Address - Phone:502-583-8383
Mailing Address - Fax:502-583-8389
Practice Address - Street 1:201 ABRAHAM FLEXNER WAY
Practice Address - Street 2:SUITE 1200
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3849
Practice Address - Country:US
Practice Address - Phone:502-583-8383
Practice Address - Fax:502-583-8389
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2013-06-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY29525208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000389899OtherANTHEM BCBS
4358296OtherAETNA
2690385000OtherPASSPORT ADVANTAGE
KY64295256Medicaid
0585991OtherCIGNA
50009809OtherPASSPORT