Individual provider Active NPI

John Patrick Hutton, M.D.

  • Psychiatry Physician
  • South Charleston, WV
National Provider Identifier
1265458590
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
10155 Issued in WV
Practice address
218 D St
South Charleston, WV 25303-3104
Phone
(304) 720-3835
Fax
(866) 931-8591
NPI assigned
Jul 13, 2006
Last updated
Oct 12, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 10155 WV Primary

Addresses

Primary practice location

218 D St
South Charleston, WV 25303-3104

Mailing address

218 D St
South Charleston, WV 25303-3104
Phone (304) 720-3835

Other identifiers 1

IdentifierTypeStateIssuer
0115852000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051116000253 WV Practitioner - Psychiatry 1254350549 Practice locations: South Charleston, WV

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

218 D St
South Charleston, WV 25303-3104
Phone (304) 720-3835

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10155WVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Hospital Association Past Accepting new patients
Highland Behavioral Health Services Inc Past Accepting new patients
Highland Behavioral Health Services, Inc Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1265458590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 D ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253033104",
            "telephone_number": "304-720-3835",
            "fax_number": "866-408-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 D ST",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253033104",
            "telephone_number": "304-720-3835",
            "fax_number": "866-931-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTTON",
        "first_name": "JOHN",
        "middle_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WV",
            "license": "10155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0115852000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Charleston, WV

Sources for this page

Verify at the official NPI Registry.