Provider Demographics
NPI:1124079777
Name:HIGHTOWER, HOWARD ERNEST (MD)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:ERNEST
Last Name:HIGHTOWER
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 1:727 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EMPORIA
Mailing Address - State:VA
Mailing Address - Zip Code:23847-1274
Mailing Address - Country:US
Mailing Address - Phone:434-348-4835
Mailing Address - Fax:434-348-4945
Practice Address - Street 1:727 N MAIN ST
Practice Address - Street 2:
Practice Address - City:EMPORIA
Practice Address - State:VA
Practice Address - Zip Code:23847-1274
Practice Address - Country:US
Practice Address - Phone:434-348-4835
Practice Address - Fax:434-348-4945
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010387332085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD94245Medicare UPIN
VA00X262E01Medicare PIN