Individual provider Active NPI

Barry Dunn Hootman, MD

  • Orthopaedic Surgery Physician
  • Butler, PA
National Provider Identifier
1104820596
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD 017918-E Issued in PA
Practice address
301 1St St
Ste 200
Butler, PA 16001-4756
Phone
(724) 289-3787
Fax
(724) 287-5899
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD 017918-E PA Primary

Addresses

Primary practice location

301 1St St
Ste 200
Butler, PA 16001-4756

Mailing address

301 1St St
Ste 200
Butler, PA 16001-4756
Phone (724) 289-3787

Other identifiers 1

IdentifierTypeStateIssuer
0008625170001MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD 017918-EPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Orthopedic Associates PastSince Jun 1, 2008 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1104820596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 1ST ST",
            "address_2": "STE 200",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014756",
            "telephone_number": "724-289-3787",
            "fax_number": "724-287-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 1ST ST",
            "address_2": "STE 200",
            "city": "BUTLER",
            "state": "PA",
            "postal_code": "160014756",
            "telephone_number": "724-289-3787",
            "fax_number": "724-287-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOTMAN",
        "first_name": "BARRY",
        "middle_name": "DUNN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD 017918-E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008625170001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butler, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.