Active NPI
Hans U Juttner, MD
- Diagnostic Radiology Physician
- Grayling, MI
National Provider Identifier
1295752228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301086706
- Practice address
- 1100 E Michigan Ave
Grayling, MI 49738-1312 - Phone
- (989) 348-5461
- NPI assigned
- Jul 16, 2006
- Last updated
- Aug 24, 2007
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 4301086706 | MI | Primary |
Addresses
Primary practice location
1100 E Michigan Ave
Grayling, MI 49738-1312
Mailing address
PO Box 646
Grayling, MI 49738-0646
Phone (989) 348-1040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4890476 | Medicaid | MI |
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 |
|---|---|---|---|
| 4301086706 | MI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Hospital Grayling | Past | Accepting new patients | |
| Martinsburg Radiology Assoc Inc | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Mercy Health Cancer Center
- Hematology & Oncology Physician
- Grayling, MI
- NPI 1427489509
-
- Diagnostic Radiology Physician
- Martinsburg, WV
- NPI 1922092568
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1295752228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 646",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497380646",
"telephone_number": "989-348-1040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 E MICHIGAN AVE",
"city": "GRAYLING",
"state": "MI",
"postal_code": "497381312",
"telephone_number": "989-348-5461"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUTTNER",
"first_name": "HANS",
"middle_name": "U",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-16",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301086706",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4890476",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.