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Cody L Hambleton

  • Male

Medical Specialty

Professional ID

  • NPI: 1700320389
  • PECOS ID: 9638452675
  • Enrollment ID: I20170216002079
  • Credential(MD, DO, DPM):
  • Medical School: University Of Florida College Of Medicine
  • Medical School Graduation Year: 2016

Hospital Service

  • Hospital CCN1: 180040
  • Business Name (LBN)1: Jewish Hospital St Marys Healthcare
  • Hospital CCN2: 180088
  • Business Name (LBN)2: Norton Hospitalnorton Medical Pavilionskosair Ch
  • Hospital CCN3: 180116
  • Business Name (LBN)3: Jackson Purchase Medical Center

Medical Practices

  • Organization Name: Tas Of Kentucky Llc
  • Group Practice ID assigned by PECOS: 3274856232
  • Number of Group Practice member: 17

Location

  • Address1: 1099 Medical Ctr Cir
  • Address2:
  • City: Mayfield
  • State: Kentucky
  • Zip Code: 42066
  • Phone Number: (270)251-4100

Medical Practices

  • Organization Name: Northstar Anesthesia Of Kentucky Ii Pllc
  • Group Practice ID assigned by PECOS: 5395023790
  • Number of Group Practice member: 121

Location

  • Address1: 200 E Chesnut St
  • Address2:
  • City: Louisville
  • State: Kentucky
  • Zip Code: 40202
  • Phone Number: (502)629-8000

Location

  • Address1: 4960 Norton Healthcare Blvd
  • Address2:
  • City: Louisville
  • State: Kentucky
  • Zip Code: 40241
  • Phone Number: (502)446-8000

Medical Practices

  • Organization Name: Kentuckyone Health Medical Group Inc
  • Group Practice ID assigned by PECOS: 8820993702
  • Number of Group Practice member: 590

Location

  • Address1: 1850 Bluegrass Ave
  • Address2:
  • City: Louisville
  • State: Kentucky
  • Zip Code: 40215
  • Phone Number: (502)367-3360

Location

  • Address1: 225 Abraham Flexner Way
  • Address2:
  • City: Louisville
  • State: Kentucky
  • Zip Code: 40202
  • Phone Number: (502)561-3753

Medicare

  • Medicare Assignment: Yes
  • Report Quality of Care to Physician Quality Reporting System (PQRS):
  • Used Electronic health record (EHR):