Basic Information
| Provider Information | |||||||||
| NPI: | 1235134628 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | HUGHES | ||||||||
| FirstName: | KERN | ||||||||
| MiddleName: | MICHAEL | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3421 CONCORD RD | ||||||||
| Address2: | |||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174029001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178511405 | ||||||||
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| Practice Location | |||||||||
| Address1: | 25 MONUMENT RD | ||||||||
| Address2: | SUITE 120 | ||||||||
| City: | YORK | ||||||||
| State: | PA | ||||||||
| PostalCode: | 174035049 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7178516110 | ||||||||
| FaxNumber: | 7178511999 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/14/2005 | ||||||||
| LastUpdateDate: | 08/19/2020 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/19/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208600000X | 2003-00997 | NC | N | Allopathic & Osteopathic Physicians | Surgery | 2086S0102X | OS006127L | PA | N | Allopathic & Osteopathic Physicians | Surgery | Surgical Critical Care | 2086S0127X | OS006127L | PA | N | Allopathic & Osteopathic Physicians | Surgery | Trauma Surgery | 208600000X | OS006127L | PA | Y | Allopathic & Osteopathic Physicians | Surgery |
ID Information
| ID | Type | State | Issuer | Description | 1034988 | 01 | PA | GATEWAY-WMG | OTHER | 956449 | 01 | MD | CAREFIRST MD BCBS | OTHER | 20093560 | 01 | PA | AMERIHEALTH MERCY-WMG | OTHER | 008387 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER | 001426602 | 05 | PA | MEDICAID | 037472500 | 05 | MD | MEDICAID |