| Travis R Huffman, | |
|
1640 Flossie Dr, Greendale, IN 47025-8424 | |
| (859) 331-0774 | |
| (859) 578-3800 |
| Full Name | Travis R Huffman |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 1640 Flossie Dr, Greendale, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982135703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 04760 (Kentucky) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 02007291A (Indiana) | Primary |
| Entity Name | Summit Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508287640 PECOS PAC ID: 2163326240 Enrollment ID: O20040403000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis R Huffman, Po Box 635283, Cincinnati, OH 45263-5283 Ph: (859) 331-0774 | Travis R Huffman, 1640 Flossie Dr, Greendale, IN 47025-8424 Ph: (859) 331-0774 |
Emily Lunn, Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 1640 Flossie Dr, Greendale, IN 47025 Phone: 859-655-8910 Fax: 859-655-8911 | |
Vani Paranandi, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1600 Flossie Dr, Greendale, IN 47025 Phone: 812-539-2313 | |
Dr. Leslie B. Long, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 1600 Flossie Dr, Greendale, IN 47025 Phone: 812-539-2313 Fax: 812-539-2339 |