Active NPI
Jesse N Hunsaker, M.D.
- Ophthalmology Physician
- American Fork, UT
National Provider Identifier
1104895507
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 167725-1205
- Practice address
- 12 N 1100 E
American Fork, UT 84003-2952 - Phone
- (801) 756-9627
- Fax
- (801) 763-0216
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 167725-1205 | UT | Primary |
Addresses
Primary practice location
12 N 1100 E
American Fork, UT 84003-2952
Mailing address
12 N 1100 E
American Fork, UT 84003-2952
Phone (801) 756-9627
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104895507 | Medicaid | UT | |
| P00039729 | Other | UT | RAILROAD MEDICARE |
| 005566401 | Other | UT | UNITED AMERICAN |
| 107006213101 | Other | UT | SELECT HEALTH |
| 206802 | Other | UT | ALTIUS |
| 4116795 | Other | UT | AETNA |
| 6426 | Other | UT | PEHP |
| 870283576HUN | Other | UT | EDUCATORS MUTUAL |
| 87028357684003A003 | Other | UT | TRICARE |
| 870283576H | Other | UT | FIRST HEALTH |
| 36172 | Other | UT | MEDADVANTAGE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 167725-1205 | UT | MD | Ophthalmology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318291200000",
"number": "1104895507",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 N 1100 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032952",
"telephone_number": "801-756-9627",
"fax_number": "801-763-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 N 1100 E",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840032952",
"telephone_number": "801-756-9627",
"fax_number": "801-763-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNSAKER",
"first_name": "JESSE",
"middle_name": "N",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2011-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "UT",
"license": "167725-1205",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1104895507",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00039729",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED AMERICAN",
"identifier": "005566401",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SELECT HEALTH",
"identifier": "107006213101",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALTIUS",
"identifier": "206802",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4116795",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PEHP",
"identifier": "6426",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EDUCATORS MUTUAL",
"identifier": "870283576HUN",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "87028357684003A003",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "870283576H",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDADVANTAGE",
"identifier": "36172",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}Other providers in American Fork, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.