NPIMap

Organization Active NPI

Hitchcock Family Medicine, PLLC

Doing business as Hitchcock Direct Imaging

  • Diagnostic Radiology Physician
  • Hixson, TN
National Provider Identifier
1275361545
Registry record updated Jul 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
HITCHCOCK FAMILY MEDICINE, PLLC
Doing business as
Hitchcock Direct Imaging
Practice address
5104 Hixson Pike
Hixson, TN 37343-3932
Phone
(423) 456-9134
Fax
(423) 769-0020
NPI assigned
Jul 26, 2024
Last updated
Jul 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2024

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

Authorized official

Name
Dr. Matthew Hitchcock, MDNPI 1760645113
Title
Owner
Phone
(423) 456-9134

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

5104 Hixson Pike
Hixson, TN 37343-3932

Mailing address

5104 Hixson Pike
Hixson, TN 37343-3932
Phone (423) 456-9134

Other names 1

  • Hitchcock Direct Imaging Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hitchcock Family Medicine PLLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1721952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721952000000",
    "number": "1275361545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433932",
            "telephone_number": "423-456-9134",
            "fax_number": "423-769-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 HIXSON PIKE",
            "city": "HIXSON",
            "state": "TN",
            "postal_code": "373433932",
            "telephone_number": "423-456-9134",
            "fax_number": "423-769-0020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HITCHCOCK FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-26",
        "last_updated": "2024-07-26",
        "certification_date": "2024-07-26",
        "status": "A",
        "authorized_official_last_name": "HITCHCOCK",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-456-9134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hitchcock Direct Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hixson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; 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.